Evaluation of the quality of medical care in patients with type 2 diabetes mellitus in a National Institute of Health. Clinical results and risk factors.

Abstract

Background: DM2 is a highly prevalent chronic disease.

Objective: Evaluate the quality of the medical care provided to patients with DM2 in a National Institute of Health, based on the goals established by the Diabetes Recognition Program (DRP), and identify risk factors for poor glycemic control. Establish a cohort of patients with DM2 for follow-up.

Material and methods: This is a descriptive, observational, and retrospective study. We analyzed 7 08 medical charts.

Results: According to the National Committee for Quality Assurance (NCQA) parameters, our center obtained the score to be accredited as a center of excellence in the care of patients with DM2 (81/100 points). Patients with poor glycemic control (HbA1c >7%) were younger (62.97 vs 66.06 years, p= 0.0016), their DM2 had been present for a longer period (13.40 vs9.57 years, p= 0.0001), and vitamin D levels were lower (20.49 vs 22.39 ng/ml, p= 0.0021). The risk factors associated with poor glycemic control were younger age, longer course of the disease, and low vitamin D levels.

Conclusions: The internal medicine department provides high-quality medical care, and fulfills international standards; however, poor DM2 control, overweight, and obesity are still highly prevalent.