Western Negev Mobile Diabetes Care Program: a model for interdisciplinary diabetes care in a semi-rural setting
| Autor: | Maximo Maislos, D. Weisman, M. Sherf |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Blood Glucose
Male Rural Population medicine.medical_specialty Pediatrics Quality Assurance Health Care Endocrinology Diabetes and Metabolism Population Blood Pressure Type 2 diabetes Body Mass Index Endocrinology Patient Education as Topic Diabetes mellitus Internal Medicine medicine Diabetes Mellitus Humans Community Health Services Age of Onset Israel education Glycated Hemoglobin Patient Care Team education.field_of_study business.industry Public health General Medicine Middle Aged medicine.disease Family medicine Mobile clinic Female Rural area business Care program Body mass index |
| Zdroj: | Acta diabetologica. 39(1) |
| ISSN: | 0940-5429 |
| Popis: | We describe a mobile diabetes clinic aimed to provide comprehensive, interdisciplinary care to patients with diabetes resident on a semi-rural area. A mobile, tertiary care diabetes clinic, composed of a diabetologist, a diabetes nurse-educator and a dietitian, was created. The clinic regularly visited the primary-care facilities of 3 towns of the Western Negev, a semi-rural area of southern Israel. A standardized, computer-based clinical protocol was applied. Analysis of data was performed on records of all patients who had had at least 2 visits to the clinic. Of 492 patients who met the inclusion criteria, 93.6% were diagnosed with type 2 diabetes, 58% were female, the mean age was 60 years and the mean time after diagnosis of diabetes was 10 years. Most patients had not visited a diabetes center before implementation of the mobile clinic. Parameters of clinical practice such as nutritional advice by a dietitian, interaction with a diabetes nurse-educator, performance of periodic ophthalmologic examination, and measurement of microalbumin excretion improved dramatically after opening of the mobile clinic. Modifiable clinical variables such as body mass index (p0.0001), systolic (p0.001) and diastolic (p0.05) blood pressures, fasting plasma glucose (p0.001), hemoglobin A1c (p0.01), LDL-cholesterol (p0.01) and HDL-cholesterol (p0.0001) improved significantly after implementation of the program. The implementation of a mobile diabetes care program in an area of low-density population is feasible. Significant improvement in parameters of clinical practice and of modifiable variables of diabetes control was achieved. The mobile diabetes clinic brought the interdisciplinary diabetes-care team to the patients' area of residence. Limited manpower answered the requirement of a geographically spread population. |
| Databáze: | OpenAIRE |
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