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Diabetes care quality according to facility setting: A cross-sectional analysis in six Peruvian regions

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dc.contributor.author Calderón-Ticona, Jorge R.
dc.contributor.author Taype-Rondán, Alvaro
dc.contributor.author Villamonte, Georgina
dc.contributor.author Labán-Seminario, L. Max
dc.contributor.author Helguero-Santín, Luis M.
dc.contributor.author Miranda, J. Jaime
dc.contributor.author Lazo Porras, María de los Ángeles
dc.date.accessioned 2021-06-08T15:46:13Z
dc.date.available 2021-06-08T15:46:13Z
dc.date.issued 2021
dc.identifier.uri https://hdl.handle.net/20.500.12866/9479
dc.description.abstract OBJECTIVE: To characterize diabetes care across healthcare facilities in six Peruvian regions. METHODS: Cross-sectional study of patients with type 2 diabetes mellitus (T2DM), ranging from primary care facilities to hospital-based facilities, in six Peruvian regions. Data was collected by health staff trained between 2012 and 2016. We studied six diabetes care outcomes and four adequate diabetes care outcomes considering the healthcare facility as the exposure of interest. We estimated prevalence ratios (PR) and their 95% confidence intervals (95% CI) using Poisson regression with robust variance. RESULTS: Data from 8879 patients with T2DM, mean age 59.1 years (SD ± 12.2), 53.6% males, was analyzed. Of these, 8096 (91.2%) were treated at primary care facilities. The proportions of patients who had HbA1c, LDL-c, and creatinine/microalbumin test performed increased with the setting of the healthcare facility. Overall, 39%-56% of patients had an adequate HbA1c control, being higher in hospital-based facilities with specialists in comparison to primary care facilities. CONCLUSIONS: We observed that the higher the setting of the facility, the higher the rate of the assessed diabetes care outcomes and adequate diabetes care for four of the six targets (fasting glucose, HbA1c, LDL-c and creatinine or microalbumin) and for three of the four targets (glucose≤130 mg/dL, HbA1c ≤7%(53 mmol/mol) and LDL-c <100 mg/dL), respectively. Substantial gaps were observed at the primary care facilities, calling for the strengthening of diabetes care en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries Primary Care Diabetes
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Type 2 diabetes mellitus en_US
dc.subject Access to health care en_US
dc.subject Diabetes care en_US
dc.subject Health systems en_US
dc.title Diabetes care quality according to facility setting: A cross-sectional analysis in six Peruvian regions en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.pcd.2020.11.014
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.18
dc.relation.issn 1878-0210


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