Effectiveness of Healthcare Services Provided to Diabetic Patients at Primary Health Care Centers in The West Bank: A Retrospective Review of Patient Records رسالة ماجستير

Abstract

Background: Globally there is increasing attention paid to the quality of care as a means to enhance the effectiveness of health care systems concerning the progress and changes linked with follow up visits of diabetic patients to primary healthcare centers (PHCs). Objectives: The aim of this study was to analyze the present database regarding diabetic patients registered in the primary health care centers in West Bank. Methods: The study used descriptive research design (retrospective) depending on a review of electronic medical records (EMR) to obtain data about T2DM patients in four targeted governmental primary healthcare centers (Qalqilya, Hebron, Ramallah, and Nablus). Results: The results revealed that 104156 patients with T2DM attended the target primary health care centers and hospital for treatment and care in 2018. This count was less in 2017 (94126), while in 2016 it was 87676 patients. Fasting blood sugars and HbA1c in 2018 show better rates compared to the previous two years. In addition, HDL and LDL results in the year 2018 showed a slightly increased proportion of normal levels among patients while the proportion of patients with normal creatinine levels in 2018 decreased compared to previous years. There is no significant difference between patients’ HDL, LDL, and Creatinine scores with gender of the patient in 2018 but there was a significant difference with HbA1C. The results of the study reported no significant difference between marital status and age with patients’ HbA1C, HDL, LDL, and Creatinine. Conclusions: The current study confirmed that minimum outcomes of diabetes care in terms of HbAC1, HDL, LDL was obtained by diabetic patients over the course of the three-year period from 2016-2018. male diabetics had greater glycemic control than Females.