Evaluation of Management of Patients with Diabetes Mellitus at Primary and Tertiary Healthcare Services


Özkan Pehlivanoğlu E. F., Balcıoğlu H., Yorulmaz G., Yıldız P., Bilge U., Ünlüoğlu İ.

Anatolian Journal of Family Medicine, cilt.5, sa.1, ss.17-22, 2022 (Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 5 Sayı: 1
  • Basım Tarihi: 2022
  • Doi Numarası: 10.5505/anatoljfm.2021.04909
  • Dergi Adı: Anatolian Journal of Family Medicine
  • Derginin Tarandığı İndeksler: TR DİZİN (ULAKBİM), Scopus
  • Sayfa Sayıları: ss.17-22
  • Anahtar Kelimeler: chronic disease hospital, family physicians, noncommunicable disease, Type 2 diabetes
  • Eskişehir Osmangazi Üniversitesi Adresli: Evet

Özet

©Copyright 2022 by Anatolian Journal of Family MedicineObjectives: This study aimed to evaluate the management of type 2 diabetes mellitus (DM) patients who apply to primary healthcare services (PHS) and tertiary healthcare services (THS). Methods: This is a cross-sectional study that used information about patients diagnosed with DM for at least 1 year from 25 family health centers considered PHS and Health Application and Research Hospital Endocrinology and Internal Diseases Polyclinics considered THS. A questionnaire including sociodemographic characteristics, DM-related features, and laboratory parameters was applied to the DM patients. Results: This study included 979 patients with DM: 515 (52.6%) patients from THS, and 464 (47.4%) from PHS. The HbA1c value was measured in 509 (98.8%) of the patients who were followed up in THS and 449 (96.8%) of the patients who were followed up in PHS (p=0.026). It was determined that 68 (13.2%) of the patients in the THS and 61 (13.1%) of the patients in the PHS had a history of cardiovascular disease (p=0.979). Hypoglycemia was detected in 66 (12.8%) of DM patients managed in THS and 34 (7.3%) of DM patients managed in PHS (p=0.005). There was no difference between PHS and THS in terms of diabetic retinopathy, diabetic nephropathy, and diabetic neuropathy (p=0.098, p=0.100 and p=0.073, respectively). Conclusion: DM is a chronic metabolic disease that requires continuous medical care, and the role of PHS in DM management needs to be increased.