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[An audit of type 2 diabetes management in a diabetes center in Marrakech]
Majda Sebbani1, Latifa Adarmouch, Nawal Elansari
1laboratoire d'épidémiologie, laboratoire PCIM, Faculté de médecine et de pharmacie de Marrakech, Marrakech, Maroc. dr.sebbani@gmail.com
Aim:
The purpose of this study was to examine current practices among endocrinologists at the University Hospital of Marrakech (Morocco), focusing on the management of type 2 diabetes in adults.
Methods:
A clinical audit of diabetic patient care was performed. The audit was based on a retrospective analysis of 46 medical records during 2011 (including monitoring examinations and non-drug prescriptions during the previous year). 27 medical visits during March 2012 were also observed. Data on physicians' perceptions and proposals for improvement were collected through semi-structured interviews. Quality of care was assessed based on current recommendations.
Results:
Data analysis revealed a gap between theory and practice. Glycated hemoglobin levels (measured every six months) were recorded in 59% of cases, while patients' hemodynamic status, weight and height were recorded in 30% of cases. The results of complication screening were recorded in half of the cases. Observations of consultations showed that patient adherence was assessed in 97% of the consultations while foot examinations were performed in just 18% of cases.
Conclusion:
The audit was both a challenge for the diabetes unit and an opportunity to promote self-assessment. This new approach may help to improve the quality of care provided to diabetic patients in our hospital.
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