000			02542cam a2200241 4500500
005			20251214030139.0
041			_afre
042			_adc
100	1	0	_aBalafrej, A. _eauthor
245	0	0	_aThe Management and Treatment of Diabetic Children in the University Hospital in Rabat (Morocco): A Case of Partnership or Personal Initiative on the Periphery of a Medical School?
260			_c2003.
500			_a20
520			_aIn Morocco, at least 10,000 children under the age of 15 suffer from Type 1 diabetes. Due to the lack of appropriate management and care, these children are highly susceptible to repeated hospital admission and long-term disabling degenerative complications. With the aim of reducing the frequency of complications, a specialized outpatient clinic was created in the children’s hospital in Rabat in 1986. A multidisciplinary team provides medical care as well as initial training and continuing education to the patients and their families according to a standardized protocol. The 700 young diabetics who are monitored in the clinic are at present autonomous in the delivery of their own daily treatment and continue to improve. After ten years, this group of patients has experienced a diabetic retinopathy rate six times lower than since the onset of their illness. The program is administered in partnership and with the financial support of a private sponsor and assistance from a parents’ association. The program is designed in compliance with the WHO's Towards Unity for Health strategy and its core principles, namely relevance, equity, quality, and effectiveness. In order to achieve sustainability, the program needs to adopt a geographical management structure and more formalized relationships linking the partners. However, the program could be considered a laboratory experiment for Rabat's Medical School  in its search to create a wider social movement. This level of commitment implies recasting the focus of the medical training curriculum, promoting therapeutic patient education, giving greater attention to the hospital’s operations, and building sustainable partnerships.
690			_achildren
690			_adegenerative complications
690			_adiabetes
690			_amedical training
690			_aMorocco
690			_apartnership
690			_atherapeutic education
786	0		_nSanté Publique | Special issue | HS | 2003-04-01 | p. 163-168 | 0995-3914
856	4	1	_uhttps://stm.cairn.info/journal-sante-publique-2003-HS-page-163?lang=en&redirect-ssocas=7080
999			_c1573471 _d1573471