Po27 The Voice Of Diabetics - Evaluation And Quality Assurance Of Diabetes Consultation

Paula Freitas1 e susana Pereira1
1USF Ara de Trajano
ABSTRACT : The prevalence of Diabetes Mellitus (DM) in 2011 was 12.7 %in Portugal, the total number of diabetes consultations in primary health care was 1,053,226, with an average of 4.7 consultations per patient. It is important to assess the impact of these consultations and determine whether the information provided by health professionals is understood. AIM: To assess and ensure the quality of care provided in Diabetes consultation. To evaluate the usefulness of this consultation for diabetics.
METHODOLOGY: Studied dimension: technical, scientific quality and acceptability. Unit of Study: patients going to diabetes consultations between 01/08/2012 -31/10/2012. Assessed professionals: physicians and nurses from our primary health care unit. Data Types: patient file and outcome. Data Source: anonymous and confidential questionnaire, closed questions of self-fulfilment or in collaboration with the nursing team. Type of Evaluation: internal and retrospective . Data collection: by the authors in November 2012. Evaluation criteria: 1. Importance of Hg A1c 2.DM complications 3.Hygiene and dietary counselling; 4. Feet Care 5. Annual analytical study; 6. Influenza vaccine 7. Medical consultation/year 8. Usefulness of this consultation for diabetics. Sample : selective and institutional basis. Planned Intervention: Educational.
RESULTS : We included 350 users in the evaluation. Only the criteria 7 and 8 obtained a good quality standard. Criteria 1, 4 and 6 were classified as insufficient, and the remainder as sufficient.
DISCUSSION: The parameters evaluated in diabetes consultation, mostly do not meet the established criteria. It was noticed that the information that is transmitted by health professionals does not reach its target – the patient –, including information on feet care, importance of HbA1c and Influenza vaccine. Yet, 100% of respondents think the consultations are useful. It is important to develop innovative preventive strategies in order to transmit the information to patients and enable them to control their diabetes, which does not occur by now. Corrective measures: 1.Presentation of these results at our primary health care unit. 2. To improve health education, hygiene and dietary advices and clarify any doubts. 3. To promote health professionals continuous education. 4. To distribute the new regulatory document DGS 05/PNPCD of 22nd March 2010 and guideline number 2 from 2011. 5. New evaluation in 2014.
diabetics; quality assurance