Preventive Care in Diabetes Mellitus: Current Practice in Urban Health-Care System
| Autor: | Richard F. Hamman, Barbara A Gabella, Frances Fan, Jeffrey Pickard, Walter F Young, Fred D Hofeldt, Thomas H Payne, Sharon L Michael, Jerome S Stromberg |
|---|---|
| Rok vydání: | 1989 |
| Předmět: |
Advanced and Specialized Nursing
medicine.medical_specialty Colorado Referral business.industry Endocrinology Diabetes and Metabolism Urban Health MEDLINE medicine.disease Preventive care Diabetes Complications Diabetes Mellitus Type 1 Diabetes clinic Diabetes Mellitus Type 2 Current practice Diabetes mellitus Emergency medicine Diabetes Mellitus Internal Medicine medicine Humans business Foot (unit) Urban health |
| Zdroj: | Diabetes Care. 12:745-747 |
| ISSN: | 1935-5548 0149-5992 |
| DOI: | 10.2337/diacare.12.10.745 |
| Popis: | Early identification and treatment of complications of diabetes mellitus may reduce the severity of the complications. As part of a program to reduce these complications in the Denver Department of Health and Hospitals patient population, our study determined how frequently preventive care, e.g., fundoscopic examinations, referral to an ophthalmologist, foot examinations, and assessment of cardiovascular risk factors, was provided to diabetic patients. With the use of billing records to identify a large sample of diabetic patients, a chart review of 544 patients was conducted. During the study year, the mean +/- SE number of visits to primary-care clinics was 5.7 +/- 0.22, with 86.4% having at least one visit. Most diabetic patients were seen by primary-care physicians; only 9% received care in a specialized diabetes clinic. Despite frequent primary-care visits, most diabetic patients in this county health-care system did not have documentation of care to detect complications of diabetes mellitus, and referral services for detection and treatment of these complications were infrequently used. Moreover, among patients seen on greater than or equal to 10 occasions in a primary-care setting, preventive care was not provided to 30% of the patients. Preventive care does not appear to be a regular part of a primary-care visit for most of the diabetic patients in this study. |
| Databáze: | OpenAIRE |
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