000 02523cam a2200289 4500500
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041 _afre
042 _adc
100 1 0 _aFrançois, Patrice
_eauthor
700 1 0 _a Pichon, Philippe
_eauthor
700 1 0 _a Poulizac, Morgan
_eauthor
700 1 0 _a Cruaud, Anna
_eauthor
700 1 0 _a Bal, Gaelle
_eauthor
700 1 0 _a Hirsch, Martin
_eauthor
245 0 0 _aDiabetic Patient Care and Type 2 Diabetes Management in Community Healthcare Centers in Grenoble (France)
260 _c2011.
500 _a97
520 _aCommunity health care centers in Grenoble aim to provide quality primary health care, including prevention, to populations living in disadvantaged urban areas. The objective of the study was to assess the quality of follow-up provided by physicians in health care centers in Grenoble to patients with diabetes mellitus. A cross-sectional study was conducted for an observation period of one week in June 2007. All type 2 diabetes patients seen in community health care centers during this given week were included in the study’s sample (n=121). During the consultation, the physician collected the data on diabetes follow-up recorded in the patient’s medical record over the last year. The data were compared with the recommendations and guidance published by the French National Authority for Health in 2006. The result of a hemoglobin A1c test dated less that three months-old was present in 80% of patients’ medical records. Serum creatinine concentration, blood lipids, and microalbuminuria levels were obtained and confirmed with annual tests, and were present and recorded in the last year in 95%, 91%, and 77% of cases, respectively. The patient’s weight, recorded within the last year, was noted in all cases. An ophthalmology consultation had been provided within the year for 57% of patients and 55% had received an electrocardiogram. Compliance with French National Authority for Health recommendations for the follow-up of diabetics in the community health care centers was satisfactory. Thus, it seems relevant to analyze their organizational methods.
690 _ahealth care quality
690 _acommunity health centers
690 _adiabetes mellitus
690 _aevaluation
690 _aprofessional practices
690 _ageneral practice
786 0 _nSanté Publique | 22 | 6 | 2011-01-24 | p. 665-674 | 0995-3914
856 4 1 _uhttps://shs.cairn.info/journal-sante-publique-2010-6-page-665?lang=en&redirect-ssocas=7080
999 _c585830
_d585830