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العنوان
Assessment of the quality of care delivered
at the diabetes clinicof Ain Shams
University Children’s hospital /
المؤلف
HEMIDA,WAEL SAID SALEM.
هيئة الاعداد
باحث / WAEL SAID SALEM HEMIDA
مشرف / MONA HUSSEIN EL SAMAHY
مشرف / HANAN HASSAN ALY
تاريخ النشر
2014
عدد الصفحات
183p.:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
طب الأطفال ، الفترة المحيطة بالولادة وصحة الطفل
تاريخ الإجازة
1/1/2014
مكان الإجازة
جامعة عين شمس - كلية الطب - طب اطفال
الفهرس
Only 14 pages are availabe for public view

from 183

from 183

Abstract

Type 1 diabetes mellitus (T1D) in childhood is the
most common chronic illness in childhood and
adolescence, with important consequences for physical and
emotional development. Individuals with T1D confront
serious life style alterations that include an absolute daily
requirement for exogenous insulin, the need to monitor
their own glucose control, and the need to pay attention to
dietary intake and exercise. Morbidity and mortality stem
from acute derangements (DKA) and from long term
complications (usually in adulthood) that affect small and
large vessels resulting in retinopathy, nephropathy,
neuropathy, ischemic heart disease, and arterial obstruction
with gangrene of the extremities.
Improvement in quality of care determined by care
practices that improve outcomes will decrease the overall
lifetime cost of diabetes by decreasing acute and chronic
complications of diabetes and will normalize life
expectancy. More importantly improving outcomes will
improve quality of life for individuals with diabetes and
their families Moreover, the great variation in quality of medical
performance between different organizations has an impact
on the outcome in terms of acute and chronic complications
adding to the importance of assessing the quality of health
services.
In our study we evaluated the quality of care
delivered at the Diabetes Clinic of Ain Shams University
Children’s Hospital in order to guide future improvement
of services according to international standard guidelines
(ISPAD) to ensure the best possible clinical outcomes for
patients and satisfaction for all customers (patients,
relatives and team of the work).
The patient arm included 300 patients randomly
recruited from the Children diabetes clinic evaluated for
care received and satisfaction. The practice and knowledge
of 18 doctors evaluated and the satisfaction of 25 doctors
was assessed (the 25 included those who previously worked
in the clinic so their knowledge and practice could not be
assessed but their degree of satisfaction with the service
could).
Our study showed that the overall aspects of diabetes
care were far below any recommended standards with the
majority of doctors 11 out of 18 (61%) and patients 00(66.6%) not adherent to international guidelines, not
achieving targets of glycemic control, and not satisfied with
the services offered in the diabetes clinic (doctors
satisfaction represent 16%, while patient satisfaction
represent 43%). Simply we reported that The quality of
diabetes care for children and adolescents in diabetes clinic
of children’s hospital of Ain Shams University is not
sufficiently good and need to be improved further if
diabetes complications in later life are to be avoided.