Citation
Chew, Boon How and J. M., Palikat and A., Nur Syamimi and A., Nor Azillah and See, J. K. and A. R., Hafiz and A., Siti Nazira and Y., Aienum and M., Muhamad Zaid and K., Palaniappan and Tan, Y. Y.
(2012)
An audit of type 2 diabetes care in a Malaysian public
community polyclinic.
Pertanika Journal of Science & Technology, 20 (1).
pp. 97-102.
ISSN 0128-7680; ESSN: 2231-8526
Abstract
Adequate and proper diabetes care in any practice is paramount and deems to be the fundamental requirement
for good diabetes control. This is an audit of type 2 diabetes care process in a public Polyclinic, with the
objectives of studying the quality of diabetic care provided in terms of clinical and managerial performance
and also to give recommendations on improving its diabetes care delivery. The audit was done on patients’
medical records selected via systematic random sampling. Patients who have been diagnosed with type 2
diabetes mellitus for more than 2 years, and those who have come for follow-up at least twice in between 1st
October 2008 and 30th September 2009 by the medical officer and/or family medicine specialist. Patients with
gestational diabetes mellitus and Type 1 diabetes mellitus were excluded. A total of 100 medical records were
audited. 51% were female and 82% were in the 40-69 age group. Measurements of blood glucose and blood
pressure were done at each follow-up at the polyclinic at 96% and 93% of the times, respectively. Within the
past one year, HbA1c was performed in 46% of the patients, while renal profile was screened in 66% of the
patients and urine protein was tested in 59% of the diabetics. Only 15% had their eyes screened by fundus
camera. The diabetes care process at this public polyclinic was unsatisfactory, as many annual blood tests
were not done and complications screening were also omitted. Thus, an urgent intervention is recommend in
order to rectify these inadequacies.
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