Abstract
Selected indicators for structure, process and outcome of care were used to audit diabetes care in 3 centres in Alexandria. Structure was poor: main problems included absence of appointment and recall system, deficiencies in laboratory resources and lack of educational material. Process of care was poor for 69.2% of patients: deficiencies included absence of essential information in records and missing some essential clinical examinations. Degree of control was poor for 49.2% of patients and only 30.6% had no complications. Compliance to appointment was good for about 80% of patients. Better outcome (fewer complications and higher compliance) was significantly associated with poor process of care. This cannot, however, be considered a valid predictor of outcome as good care might be initiated by the presence of complications.
MeSH terms
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Adult
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Chi-Square Distribution
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Diabetes Mellitus, Type 1 / metabolism
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Diabetes Mellitus, Type 1 / psychology
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Diabetes Mellitus, Type 1 / therapy*
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Diabetes Mellitus, Type 2 / metabolism
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Diabetes Mellitus, Type 2 / psychology
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Diabetes Mellitus, Type 2 / therapy*
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Egypt
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Fasting
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Female
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Glucose / metabolism
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Guideline Adherence / standards
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Health Services Needs and Demand
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Health Services Research
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Hospitals, Urban / organization & administration*
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Humans
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Male
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Medical Audit
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Middle Aged
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Outcome and Process Assessment, Health Care / organization & administration*
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Patient Compliance / psychology
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Patient Compliance / statistics & numerical data
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Patient Education as Topic
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Practice Guidelines as Topic
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Quality Indicators, Health Care / organization & administration*
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Registries
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Surveys and Questionnaires
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World Health Organization