Evaluation of Medical Care for Diabetic and Hypertensive Patients in Primary Care in Mexico: Observational Retrospective Study
Introduction. The present study evaluated the quality of medical care for patients diagnosed with diabetes mellitus (DM), hypertension (HBP), and both pathologies (DM+HBP) within a public health system in Mexico. Methods. 45,498 patients were included from 2012 to 2015. All information was taken fro...
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Wiley
2021-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2021/7365075 |
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| author | Agustin Lara-Esqueda Sergio A. Zaizar-Fregoso Violeta M. Madrigal-Perez Mario Ramirez-Flores Daniel A. Montes-Galindo Margarita L. Martinez-Fierro Iram P. Rodriguez-Sanchez José Guzman-Esquivel Carmen Meza-Robles Gabriel Ceja-Espiritu Pablo A. Kuri-Morales Josuel Delgado-Enciso Armando Barriguete-Melendez Hector R. Galvan-Salazar Carlos E. Barajas-Saucedo Elvin Guillermo-Espinosa Agustin D. Lara-Basulto Jesus F. Gonzalez-Roldan Ivan Delgado-Enciso |
| author_facet | Agustin Lara-Esqueda Sergio A. Zaizar-Fregoso Violeta M. Madrigal-Perez Mario Ramirez-Flores Daniel A. Montes-Galindo Margarita L. Martinez-Fierro Iram P. Rodriguez-Sanchez José Guzman-Esquivel Carmen Meza-Robles Gabriel Ceja-Espiritu Pablo A. Kuri-Morales Josuel Delgado-Enciso Armando Barriguete-Melendez Hector R. Galvan-Salazar Carlos E. Barajas-Saucedo Elvin Guillermo-Espinosa Agustin D. Lara-Basulto Jesus F. Gonzalez-Roldan Ivan Delgado-Enciso |
| author_sort | Agustin Lara-Esqueda |
| collection | DOAJ |
| description | Introduction. The present study evaluated the quality of medical care for patients diagnosed with diabetes mellitus (DM), hypertension (HBP), and both pathologies (DM+HBP) within a public health system in Mexico. Methods. 45,498 patients were included from 2012 to 2015. All information was taken from the electronic medical record database. Each patient record was compared against the standard to test the quality of medical care. Results. Glycemia with hypertension goals reached 29.6% in DM+HBP, 48.6% in DM, and 53.2% in HBP. The goals of serum lipids were reached by 3% in DM+HBP, 5% in DM, and 0.2% in HBP. Glycemia, hypertension, and LDL cholesterol reached 0.04%. 15% of patients had an undiagnosed disease. Clinical follow-up examinations reached 20% for foot examination and clinical eye examination. Specialty referrals reached 1% in angiology or cardiology. Conclusion. Goals for glycemic and hypertension reached 50% in the overall population, while serum lipids, clinical follow-up examinations, and referral to a specialist were deficient. Patients who had both diseases had more consultations, better control for hypertension and lipids, but inferior glycemic control. Overall, quality care for DM and/or HBP has not been met according to the standards. |
| format | Article |
| id | doaj-art-15dc40a6f3ae439fa3832937a50a1636 |
| institution | Kabale University |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-15dc40a6f3ae439fa3832937a50a16362025-02-03T01:25:08ZengWileyJournal of Diabetes Research2314-67452314-67532021-01-01202110.1155/2021/73650757365075Evaluation of Medical Care for Diabetic and Hypertensive Patients in Primary Care in Mexico: Observational Retrospective StudyAgustin Lara-Esqueda0Sergio A. Zaizar-Fregoso1Violeta M. Madrigal-Perez2Mario Ramirez-Flores3Daniel A. Montes-Galindo4Margarita L. Martinez-Fierro5Iram P. Rodriguez-Sanchez6José Guzman-Esquivel7Carmen Meza-Robles8Gabriel Ceja-Espiritu9Pablo A. Kuri-Morales10Josuel Delgado-Enciso11Armando Barriguete-Melendez12Hector R. Galvan-Salazar13Carlos E. Barajas-Saucedo14Elvin Guillermo-Espinosa15Agustin D. Lara-Basulto16Jesus F. Gonzalez-Roldan17Ivan Delgado-Enciso18Department of Research, Cancerology State Institute, Colima State Health Services, Colima 28085, MexicoDepartment of Research, Cancerology State Institute, Colima State Health Services, Colima 28085, MexicoDepartment of Research, Cancerology State Institute, Colima State Health Services, Colima 28085, MexicoDepartment of Molecular Medicine, School of Medicine, University of Colima, Colima 28040, MexicoDepartment of Research, Cancerology State Institute, Colima State Health Services, Colima 28085, MexicoMolecular Medicine Laboratory, Academic Unit of Human Medicine and Health Sciences, Zacatecas Autonomous University, Zacatecas 98160, MexicoMolecular and Structural Physiology Laboratory, School of Biological Sciences, Autonomous University of Nuevo León, Monterrey, Nuevo León 64460, MexicoDepartment of Research, Mexican Social Security Institute, Villa de Alvarez, Colima 28983, MexicoDepartment of Research, Cancerology State Institute, Colima State Health Services, Colima 28085, MexicoDepartment of Molecular Medicine, School of Medicine, University of Colima, Colima 28040, MexicoSchool of Medicine, Universidad Nacional Autonoma de Mexico, Ciudad de Mexico, 04510, MexicoFundación para la Etica, Education e Investigación del Cáncer del Instituto Estatal de Cancerologia de Colima, Colima 28085, MexicoUniversidad Anahuac Ciudad de Mexico, MexicoDepartment of Research, Cancerology State Institute, Colima State Health Services, Colima 28085, MexicoDepartment of Molecular Medicine, School of Medicine, University of Colima, Colima 28040, MexicoColima State Health Services, Colima 28085, MexicoDepartment of Research, Cancerology State Institute, Colima State Health Services, Colima 28085, MexicoSubsecretaria de Prevención y Promoción de la Salud, Secretaria de Salud de Mexico, Ciudad de Mexico, 06600, MexicoDepartment of Molecular Medicine, School of Medicine, University of Colima, Colima 28040, MexicoIntroduction. The present study evaluated the quality of medical care for patients diagnosed with diabetes mellitus (DM), hypertension (HBP), and both pathologies (DM+HBP) within a public health system in Mexico. Methods. 45,498 patients were included from 2012 to 2015. All information was taken from the electronic medical record database. Each patient record was compared against the standard to test the quality of medical care. Results. Glycemia with hypertension goals reached 29.6% in DM+HBP, 48.6% in DM, and 53.2% in HBP. The goals of serum lipids were reached by 3% in DM+HBP, 5% in DM, and 0.2% in HBP. Glycemia, hypertension, and LDL cholesterol reached 0.04%. 15% of patients had an undiagnosed disease. Clinical follow-up examinations reached 20% for foot examination and clinical eye examination. Specialty referrals reached 1% in angiology or cardiology. Conclusion. Goals for glycemic and hypertension reached 50% in the overall population, while serum lipids, clinical follow-up examinations, and referral to a specialist were deficient. Patients who had both diseases had more consultations, better control for hypertension and lipids, but inferior glycemic control. Overall, quality care for DM and/or HBP has not been met according to the standards.http://dx.doi.org/10.1155/2021/7365075 |
| spellingShingle | Agustin Lara-Esqueda Sergio A. Zaizar-Fregoso Violeta M. Madrigal-Perez Mario Ramirez-Flores Daniel A. Montes-Galindo Margarita L. Martinez-Fierro Iram P. Rodriguez-Sanchez José Guzman-Esquivel Carmen Meza-Robles Gabriel Ceja-Espiritu Pablo A. Kuri-Morales Josuel Delgado-Enciso Armando Barriguete-Melendez Hector R. Galvan-Salazar Carlos E. Barajas-Saucedo Elvin Guillermo-Espinosa Agustin D. Lara-Basulto Jesus F. Gonzalez-Roldan Ivan Delgado-Enciso Evaluation of Medical Care for Diabetic and Hypertensive Patients in Primary Care in Mexico: Observational Retrospective Study Journal of Diabetes Research |
| title | Evaluation of Medical Care for Diabetic and Hypertensive Patients in Primary Care in Mexico: Observational Retrospective Study |
| title_full | Evaluation of Medical Care for Diabetic and Hypertensive Patients in Primary Care in Mexico: Observational Retrospective Study |
| title_fullStr | Evaluation of Medical Care for Diabetic and Hypertensive Patients in Primary Care in Mexico: Observational Retrospective Study |
| title_full_unstemmed | Evaluation of Medical Care for Diabetic and Hypertensive Patients in Primary Care in Mexico: Observational Retrospective Study |
| title_short | Evaluation of Medical Care for Diabetic and Hypertensive Patients in Primary Care in Mexico: Observational Retrospective Study |
| title_sort | evaluation of medical care for diabetic and hypertensive patients in primary care in mexico observational retrospective study |
| url | http://dx.doi.org/10.1155/2021/7365075 |
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