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• W2007997123 abstract "The aim of this study was to investigate the care of diabetes in primary care in the public sector in Greater Tunis and in particular, to assess variations in care across centres with the intention of seeking explanations for any differences identified. We undertook a retrospective medical review of patients with diabetes from four primary care health centres. Data were collected concerning patient characteristics, process of care criteria, outcome of care criteria, attendance rates, treatment and health centre characteristics. The total sample size was 235 patients. Outcome of care criteria were found to be similar across each of the centres. Process of care criteria were found to be significantly varied between the centres for all measurements used. Variations were also found in treatment and attendance rates across the health centres. In conclusion, there is a significant variation in the management of diabetes in primary care across centres within Greater Tunis, despite the use of standardised, national guidelines. A number of factors related to the centres may have given rise to these variations. Variations dans la prise en charge des diabétiques dans les centres de santé de base de Tunis L'objectif de notre travail consiste à évaluer la prise en charge des diabétiques dans les centres de soins de santé de base dans le grand Tunis. Nous essayerons à travers cette etude rétrospective de ressortir les éventuelles causes de variations dans la qualité de suivi des patients diabétiques d'un centre à l'autre parmi les centres pré-cités. Nous avons relevé du dossier médical des chroniques les données portant sur l'identité des patients, la qualité de leur prise en charge sur le plan clinique, biologique et thérapeutique ainsi que l'existence d'éventuels défaillants. Dans notre échantillon, composé de 235 patients, nous avons relevé une différence significative dans les différents paramètres de suivi des diabétiques, dans le nombre de défaillants et dans la prescription thérapeutique d'un centre de soins à l'autre. En conclusion, il est intéressant de noter que malgré l'existence d'un programme national de prise en charge des diabétiques et des hypertendus dans les structures de première ligne, il existe différents facteurs de variations de la qualité de la prise en charge qui dépendent du personnel soignant, du patient et de l'emplacement du centre de soins." @default.
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• W2007997123 date "2004-04-01" @default.
• W2007997123 modified "2023-09-25" @default.
• W2007997123 title "Variations in care of diabetes in primary care centres in Tunis" @default.
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• W2007997123 doi "https://doi.org/10.1016/s1262-3636(07)70108-8" @default.
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