PMID: 15250460Jul 15, 2004Paper

Physician education programme improves quality of diabetes care

South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
D G van Zyl, P Rheeder

Abstract

Diabetes mellitus is a common chronic disease needing long-term glycaemic control to prevent complications. Guidelines are available for achievement of optimal glycaemic control, but these are seldom properly instituted. To determine if a physician education programme and a structured consultation schedule would improve the quality of diabetes patient care in a diabetes clinic. Two tertiary care diabetes clinics at Kalafong Hospital, Pretoria. Quasi-experimental controlled before-and-after study. A baseline audit of the quality of care in two comparable diabetes clinics was performed. Three hundred patients were randomly selected for audit of their hospital records: 141 from the intervention and 159 from the control clinics. Thereafter a physician training programme and a structured consultation schedule were introduced to the intervention clinic and maintained for a 1-year period. The control clinic continued with care as usual. Process and outcome measures were determined at a post-intervention audit and compared between the two groups. Consultation time was measured for both the intervention and control groups and data were compared. At baseline the intervention and control groups did not differ significantly with regard to ...Continue Reading

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