Quality of diabetes care in outpatient department

Cho, Han Kyu; Kim, Min Jung; Woo, Sung Sun; Cho, Hong Jun; Kim, Young Sik

Abstract

BACKGROUNDS: Proper managements of diabetes is important in family practice. this study aimed to assess the quality of diabetes care in an outpatient department of family medicine in a general hospital.
METHODS
We reviewed all the charts of patients who had a new diagnosis code of diabetes in an outpatient department if family medicine at Asan medical center from January 1, 1994 to December 31, 1995. The documentation of medical history, physical examination, laboratory tests and treatments were examined. We surveyed the doctors who had managed the above patients.
RESULTS
This study include d95 patients with diabetes were documented in 61,1 % and 336%, respectively. Blood pressure measurement, fundus examination and neurologic examination were done in 100.0%., 47.4% and 18.9%, respectively. Lipid profile and urine microalbumin were checked in 477.4 % and 1.00%, respectively. Management if hypertension and exercise education were documented in 65.0% and 47.4%, respectively. In the doctor survey, doctors responded that they had provided services to diabetic patients more frequently than the results of chart audit except on a few items.
CONCLUSIONS
The care of diabetic patients was relatively adequate in many items, but insufficient in some item. Efforts to improve the quality of diabetes care in family practice ar needed.