Analysis of the quality of clinical follow-up care of patients with type 2 diabetes mellitus
- Autores: Demicheva T.P.1
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Afiliações:
- Perm State Medical University n.a. Acad. E.A. Wagner
- Edição: Volume 31, Nº 2 (2024)
- Páginas: 112-115
- Seção: Original articles
- URL: https://journal-vniispk.ru/2073-4034/article/view/257805
- DOI: https://doi.org/10.18565/pharmateca.2024.2.112-115
- ID: 257805
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Resumo
Background. The incidence of diabetes mellitus (DM), its complications and adverse outcomes tends to increase. Legislators and management structures, in search of more effective medical technologies to change the current situation, have increasingly begun to focus on the quality of medical care, including follow-up care.
Objective. Evaluation of the quality of follow-up for patients with type 2 diabetes mellitus (DM2).
Methods. Data on the condition of follow-up care in DM2 patients for the year were obtained from form 025/u (1043 sources of information). The main group (60.2%) consisted of elderly people. An expert method was used to assess the quality of follow-up. The opinions of patients on this issue were taken into account (80 respondents). The results of the survey of medical workers (210 doctors) are aimed at assessing the level of their competence in follow-up care.
Results. Defects in maintaining medical records for various items were identified in 91.8% of cases. In 32.9%, the records of primary accounting documents were uninformative and of a formal nature. The completeness of laboratory and instrumental studies did not meet the requirements. Thus, the glycated hemoglobin level was not studied in 48.1%, glomerular filtration rate – in 55.8%, biochemical blood test – in 36% of cases. Patients considered haste in work to be a shortcoming in the work of doctors (48%), 20% of respondents were dissatisfied with the insensitive behavior of medical workers.
Discussion. There are a few works from an organizational aspect on the problem of the quality of follow-up care of diabetic patients.
Conclusion. Statistical analysis showed that clinical follow-up as a technology for medical prevention of the development of complications requires changing its quality by improving control.
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##article.viewOnOriginalSite##Sobre autores
T. Demicheva
Perm State Medical University n.a. Acad. E.A. Wagner
Autor responsável pela correspondência
Email: edemich-perm@mail.ru
ORCID ID: 0000-0002-5422-8700
Código SPIN: 3743-3914
Cand. Sci. (Med.), Associate Professor at the Department of Endocrinology and Clinical Pharmacology
Rússia, PermBibliografia
- Усачева Е.В., Нелидова А.В., Куликова О.М. и др. Смертность трудоспособного населения России от сердечно-сосудистых заболеваний. Гигиена и санитария. 2021;100(2):159–165. [Usacheva E.V., Nelidova A.V., Kulikova O.M. and others. Mortality of the working population of Russia from cardiovascular diseases. Hygiene and sanitation. 2021;100(2):159–165. (In Russ.)]. doi: 10.47470/0016-9900-2021-100-2-159-165.
- Концевая А.В., Муканеева Д.К., Игнатьева В.И. и др. Экономика профилактики сердечно-сосудистых заболеваний в Российской Федерации. Российский кардиологический журнал. 2023;28(9):5521. [Kontsevaya A.V., Mukaneeva D.K., Ignatieva V.I. and others. Economics of prevention of cardiovascular diseases in the Russian Federation. Russian Journal of Cardiology. 2023;28(9):5521. (In Russ.)]. doi: 10.15829/1560-4071-2023-5521.
- Приказ МЗ РФ № 168н «Об утверждении порядка проведения диспансерного наблюдения за взрослыми» от 15.03.2022. [Order of the Ministry of Health of the Russian Federation dated March 15, 2022. №. 168n “On approval of the procedure for conducting dispensary observation of adults”. (In Russ.)].
- Алгоритмы специализированной медицинской помощи больным сахарным диабетом. Под редакцией И.И. Дедова, М.В. Шестаковой, А.Ю. Майорова. 11-й выпуск. М., 2023. [Algorithms for specialized medical care for patients with diabetes mellitus. Edited by I.I. Dedov, M.V. Shestakova, A.Yu. Mayorov. 11th issue. M.; 2023. (In Russ.)]. doi: 10.14341/DM13042.
- Таут Д.Ф., Иванов И.В., Минулин И.Б. и др. Оценка качества диспансерного наблюдения пациентов, страдающих хроническими неинфекционными заболеваниями, на основе практических рекомендаций Росздравнадзора. Вестник ОРГЗДРАВ: новости, мнения, обучение. Вестник ВШОУЗ. 2022;8(3):34–45. [Taut D.F., Ivanov I.V., Minulin I.B. et al. Assessment of the quality of dispensary observation of patients suffering from chronic non-infectious diseases, based on practical recommendations of Roszdravnadzor. ORGZDRAV Bulletin: news, opinions, training. VSHOUZ Bulletin. 2022;8(3):34–45. (In Russ.)].
- Письмо ФОМС № 00-10-30-4-06/16240 от 02.10.2023. [Letter of the Compulsory Medical Insurance Fund dated 10/02/2023 №. 00-10-30-4-06/16240. (In Russ.)].
- Решетников В.А. Основы статистического анализа в медицине: учебное пособие. Изд-во: Медицинская информатика и статистика, телемедицина. 2020. 156 с. [Reshetnikov V.A. Fundamentals of statistical analysis in medicine: textbook. Publishing house: Medical informatics and statistics, telemedicine. 2020. 156 p. (In Russ.)].
- Приказ Минздрава России № 834н «Об утверждении унифицированных форм медицинской документации, используемых в медицинских организациях, оказывающих медицинскую помощь в амбулаторных условиях, и порядков по их заполнению» (ред. от 02.11.2020) от 15.12.2014. [Order of the Ministry of Health of Russia dated December 15, 2014 No. 834n (as amended on November 2, 2020) «On approval of unified forms of medical documentation used in medical organizations providing medical care in outpatient settings, and procedures for filling them out».(In Russ.)].
- Сандаков Я.П., Кочубей А.В. Мероприятия по совершенствованию организации диспансерного наблюдения. Проблемы социальной гигиены, здравоохранения и истории медицины. 2018;26(6):428–31. [Sandakov Ya.P., Kochubey A.V. Measures to improve the organization of dispensary observation. Problems of social hygiene, health care and history of medicine. 2018;26(6):428–431. (In Russ.)].
- Водолагин М.В., Эккерт Н.В., Козлов В.В. Оценка влияния медико-социальных факторов на приверженность пациентов с сахарным диабетом к модификации образа жизни. Siberian Journal of Life Sciences and Agriculture. 2021;13(5):247–63. [Vodolagin M.V., Eckert N.V., Kozlov V.V. Assessment of the influence of medical and social factors on the adherence of patients with diabetes to lifestyle modification. Siberian Journal of Life Sciences and Agriculture. 2021;13(5):247–263. (In Russ.)].
- Волкова О.А., Смирнова Е.В. Пути совершенствования организации диспансерного наблюдения в столичном здравоохранении. Проблемы социальной гигиены, здравоохранения и истории медицины. 2020;28(спецвыпуск):1094–1100. [Volkova O. A., Smirnova E. V. Ways to improve the organization of dispensary observation in the capital’s healthcare. Problems of social hygiene, health care and history of medicine. 2020;28(special issue):1094–1100. (In Russ.)]. doi: 10.32687/0869-866X-2020-28-s2-1094-1100.
- Усачева Е.В., Бертенева М.Е., Калинушкина Н.Б. Диспансерное наблюдение – как основа профилактической работы врача-терапевта участкового. Поликлиника. 2019;5(2):13–17. [Usacheva E. V., Berteneva M. E., Kalinushkina N. B. Dispensary observation – as the basis for the preventive work of a local therapist. Poliklinika. 2019;5(2):13–17. (In Russ.)].
- Бубнова М.Г., Трибунцева Л.В., Остроушко Н.И. и др. Влияние дистанционного диспансерного наблюдения на течение артериальной гипертензии. Профилактическая медицина. 2018;21(5):77–82. [Bubnova M.G., Tribuntseva L.V., Ostroushko N.I. and others. The influence of remote clinical monitoring on the course of arterial hypertension. Preventive medicine. 2018;21(5):77–82. (In Russ.)]. doi: 10.17116/profmed20182105177.
- Шевцова В.И., Кургузова А.С., Добрынина И.С. Эффективность диспансерного наблюдения пациентов с гипертонической болезнью. Терапия. 2022;4:123–26. [Shevtsova V.I., Kurguzova A.S., Dobrynina I.S. The effectiveness of clinical observation of patients with hypertension. Therapy. 2022;4:123–126. doi: 10.18565/therapy.2022.4suppl.124-127. (In Russ.)].
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