Auditing of medical chart among type 2 diabetic patient done by primary care physicians
| Autor: | Alma Alic, Larisa Gavran, Subhija Prasko, Olivera Batic-Mujanovic, Muharem Zildzic, Ibrahim Gledo |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Medical audit General Practice Primary care Audit Medical Records Chart Diabetes mellitus Medicine Humans Quality of Health Care Medical Audit business.industry Medical record General Medicine Middle Aged medicine.disease Diabetes Mellitus Type 2 Female Diabetic patient business Family Practice Foot (unit) |
| Zdroj: | Medical archives (Sarajevo, Bosnia and Herzegovina). 66(6) |
| ISSN: | 0350-199X |
| Popis: | AIM To analyse the difference in documentation of standard parameters for monitoring DM type 2 between Family Medicine Teams (FMT) and Teams on Program Additional Training (PAT). METHODS Study was conducted as 20 medical chart audits of diabetic type 2 patients randomly selected per 3 FMT from Zenica and 3 PAT from Kakanj. According to the chart, we assess sex, age, glucose in blood-GB, blood pressure-BP, total cholesterol-TC, body mass index-BMI, HbA1c, foot exam, eye exam and urinoanalisis and have any of the tests been done in the past year. RESULTS 60 medical chart from FMT and 60 medical charts from PAT teams were reviewed. FMT vs. PAT teams recorded: BG 58% vs. 30% (X2 = 8.651, p = 0.003); BP 70% vs.33% (X2 = 14.716, p = 0.0001); TC 35% vs.22% (X2 = 2.011, p = 0.156); BMI 48% vs.28% (X2 = 4.266, p = 0.038); HbA1c 41% vs.75% (X2 = 12.377, p = 0.0004); foot exam 26% vs. 78% (X2 = 28.158, p < 0.0001); eye exam 48% vs. 65% (X2 = 2.749, p = 0.097) and urinoanalisis 38% vs.88% (X2 = 30.179, p < 0.0001). CONCLUSION FMT recorded a higher number of metabolic parameters for macrovascular risk factors (BG, BP and BMI) than microvascular risk factors (HbA1c, foot exam and urinoanalisis) which are were better controlling by PAT teams. |
| Databáze: | OpenAIRE |
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