Glennis Mafi MB, ChB, FRNZCGP, David Simmons FRACP, MD, Trish Harry RA, Ashwin Patel MB, ChB, Dip Obst, John Wellingham MRCP (UK) MRNACGP, Rick Cutfield FRACP
{"title":"Diabetes in general practice: Tongans in Tonga and South Auckland","authors":"Glennis Mafi MB, ChB, FRNZCGP, David Simmons FRACP, MD, Trish Harry RA, Ashwin Patel MB, ChB, Dip Obst, John Wellingham MRCP (UK) MRNACGP, Rick Cutfield FRACP","doi":"10.1111/j.1440-1762.2001.00395.pp.x","DOIUrl":null,"url":null,"abstract":"<p> <b>Abstract</b> The aim of this study was to compare the management and treatment outcomes of Tongan diabetic patients in Tonga and South Auckland, New Zealand. This was achieved by comparison of Tongan diabetic patients within clinical audits from a general practice in Tonga (<i>n</i> = 124) with those from participating general practices in South Auckland (<i>n</i> = 168). Our results indicate that some measures of diabetes care and outcomes were similar or even better in Tonga, while some interventions were not available in Tonga. Control of weight, glucose, blood pressure and cholesterol remained difficult in both areas. Severe diabetic foot damage was more common among Tongan patients in Tonga (6.5%<i>vs</i> 1.8%, <i>P</i> < 0.05). This international comparison shows that Tongans in both Tonga and New Zealand remain at high-risk of complications independent of the health system under which care is being delivered. While barriers to implementation may differ in the two settings, improvements in the co-ordination of care are likely to be of benefit in both settings.</p>","PeriodicalId":79407,"journal":{"name":"Journal of quality in clinical practice","volume":"21 1-2","pages":"17-20"},"PeriodicalIF":0.0000,"publicationDate":"2008-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1440-1762.2001.00395.pp.x","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of quality in clinical practice","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/j.1440-1762.2001.00395.pp.x","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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Abstract The aim of this study was to compare the management and treatment outcomes of Tongan diabetic patients in Tonga and South Auckland, New Zealand. This was achieved by comparison of Tongan diabetic patients within clinical audits from a general practice in Tonga (n = 124) with those from participating general practices in South Auckland (n = 168). Our results indicate that some measures of diabetes care and outcomes were similar or even better in Tonga, while some interventions were not available in Tonga. Control of weight, glucose, blood pressure and cholesterol remained difficult in both areas. Severe diabetic foot damage was more common among Tongan patients in Tonga (6.5%vs 1.8%, P < 0.05). This international comparison shows that Tongans in both Tonga and New Zealand remain at high-risk of complications independent of the health system under which care is being delivered. While barriers to implementation may differ in the two settings, improvements in the co-ordination of care are likely to be of benefit in both settings.
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