Evaluation of Medical Care for Diabetic and Hypertensive Patients in Primary Care in Mexico: Observational Retrospective Study.

Autor:	Lara-Esqueda A; Department of Research, Cancerology State Institute, Colima State Health Services, Colima 28085, Mexico., Zaizar-Fregoso SA; Department of Research, Cancerology State Institute, Colima State Health Services, Colima 28085, Mexico., Madrigal-Perez VM; Department of Research, Cancerology State Institute, Colima State Health Services, Colima 28085, Mexico., Ramirez-Flores M; Department of Molecular Medicine, School of Medicine, University of Colima, Colima 28040, Mexico., Montes-Galindo DA; Department of Research, Cancerology State Institute, Colima State Health Services, Colima 28085, Mexico., Martinez-Fierro ML; Molecular Medicine Laboratory, Academic Unit of Human Medicine and Health Sciences, Zacatecas Autonomous University, Zacatecas 98160, Mexico., Rodriguez-Sanchez IP; Molecular and Structural Physiology Laboratory, School of Biological Sciences, Autonomous University of Nuevo León, Monterrey, Nuevo León 64460, Mexico., Guzman-Esquivel J; Department of Research, Mexican Social Security Institute, Villa de Alvarez, Colima 28983, Mexico., Meza-Robles C; Department of Research, Cancerology State Institute, Colima State Health Services, Colima 28085, Mexico., Ceja-Espiritu G; Department of Molecular Medicine, School of Medicine, University of Colima, Colima 28040, Mexico., Kuri-Morales PA; School of Medicine, Universidad Nacional Autonoma de Mexico, Ciudad de Mexico, 04510, Mexico., Delgado-Enciso J; Fundación para la Etica, Education e Investigación del Cáncer del Instituto Estatal de Cancerologia de Colima, Colima 28085, Mexico., Barriguete-Melendez A; Universidad Anahuac Ciudad de Mexico, Mexico., Galvan-Salazar HR; Department of Research, Cancerology State Institute, Colima State Health Services, Colima 28085, Mexico., Barajas-Saucedo CE; Department of Molecular Medicine, School of Medicine, University of Colima, Colima 28040, Mexico., Guillermo-Espinosa E; Colima State Health Services, Colima 28085, Mexico., Lara-Basulto AD; Department of Research, Cancerology State Institute, Colima State Health Services, Colima 28085, Mexico., Gonzalez-Roldan JF; Subsecretaria de Prevención y Promoción de la Salud, Secretaria de Salud de Mexico, Ciudad de Mexico, 06600, Mexico., Delgado-Enciso I; Department of Molecular Medicine, School of Medicine, University of Colima, Colima 28040, Mexico.
Jazyk:	angličtina
Zdroj:	Journal of diabetes research [J Diabetes Res] 2021 Aug 14; Vol. 2021, pp. 7365075. Date of Electronic Publication: 2021 Aug 14 (Print Publication: 2021).
DOI:	10.1155/2021/7365075
Abstrakt:	Introduction: The present study evaluated the quality of medical care for patients diagnosed with diabetes mellitus (DM), hypertension (HBP), and both pathologies (DM+HBP) within a public health system in Mexico. Methods: 45,498 patients were included from 2012 to 2015. All information was taken from the electronic medical record database. Each patient record was compared against the standard to test the quality of medical care. Results: Glycemia with hypertension goals reached 29.6% in DM+HBP, 48.6% in DM, and 53.2% in HBP. The goals of serum lipids were reached by 3% in DM+HBP, 5% in DM, and 0.2% in HBP. Glycemia, hypertension, and LDL cholesterol reached 0.04%. 15% of patients had an undiagnosed disease. Clinical follow-up examinations reached 20% for foot examination and clinical eye examination. Specialty referrals reached 1% in angiology or cardiology. Conclusion: Goals for glycemic and hypertension reached 50% in the overall population, while serum lipids, clinical follow-up examinations, and referral to a specialist were deficient. Patients who had both diseases had more consultations, better control for hypertension and lipids, but inferior glycemic control. Overall, quality care for DM and/or HBP has not been met according to the standards. Competing Interests: The authors declare that they have no competing interests. (Copyright © 2021 Agustin Lara-Esqueda et al.)
Databáze:	MEDLINE
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