کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2675589 1141802 2013 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Does availability of expanded point-of-care services improve outcomes for rural diabetic patients?
ترجمه فارسی عنوان
آیا دسترسی به خدمات گسترده نقطه مراقبت، نتایج برای بیماران دیابتی روستایی را بهبود می بخشد؟
کلمات کلیدی
دسترسی به مراقبت؛ پزشکی خانواده؛ استفاده از خدمات بهداشتی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی

AimsThe purpose of this study was to assess compliance with American Diabetes Association screening recommendations at Salina Family Healthcare (SFHC) in Salina, Kansas, a large rural town, and to evaluate the impact of point-of-care (POC) dilated eye exams for uninsured patients. POC exams are those performed in the location where patients are treated.MethodsThere were 462 type II diabetic (DM2) patients seen at SFHC in 2009 and 537 DM2 patients seen in 2010. A chart review of all patients with DM2 was done to assess rates of recommended screening exams, including dilated eye exams and foot exams.ResultsIn 2009/2010 urine microalbumin was checked in 57%/75% of DM2 patients. HbA1c and low density lipoprotein (LDL) levels at goal were 46%/48% and 58%/58%, respectively. 47%/67% of DM@ patients received foot exams and 21%/30% received eye exams. In 2009, 23% of the 155 uninsured diabetic patients at SFHC received a dilated eye exam. The following year, after implementation of on-site ophthalmologic services, rates of dilated eye exams increased 1.6 fold to 37% of the 196 uninsured patients.ConclusionsSFHC performed similarly to national rates on some diabetic screening exams, but there is room for improvement in all recommended screening exams. The implementation of a novel approach to increasing dilated eye exam rates indicates that expanded POC services can improve outcomes for diabetic patients.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Primary Care Diabetes - Volume 7, Issue 2, July 2013, Pages 129–134
نویسندگان
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