Quality of care of patients with type 2 diabetes mellitus at a public sector district hospital

South African Family Practice

Field Value
Title Quality of care of patients with type 2 diabetes mellitus at a public sector district hospital
Creator Fredericks, Kelly J. Naidoo, Mergan
Subject Family Medicine; District Level; Primary Health Care type 2 diabetes mellitus; quality of care; public sector; district hospital; South Africa
Description Background: Globally, diabetes mellitus (DM) remains one of the leading causes of mortality, with approximately 2 million deaths in 2019, the condition also contributes significantly to adverse health conditions and costs. The study aimed to describe the quality of care (QOC) rendered to patients with type 2 DM (T2DM) seeking care at Wentworth Hospital (WWH), a district hospital in KwaZulu-Natal province, South Africa.Methods: A descriptive cross-sectional design was used, and all patients living with T2DM on treatment who had accessed care for at least 1 year were included. Data were collected through structured exit interviews, and their clinical data were extracted from their medical records. Their knowledge, attitudes and practices were assessed using a 5-point Likert scale.Results: The mean age (standard deviation [s.d.]) was 59 (13.0) years and most (65.3%) were female, of African (30.0%) and Indian (38.6%) descent, with two-thirds (69.4%) obtaining a secondary school education. Their mean glycated haemoglobin (HbA1c) (s.d.) was 8.6 (2.4%). Over 82% had one or more comorbidity, while 30% had at least one DM-related complication. Generally, participants were pleased with the care received, but their knowledge and practices related to their T2DM was suboptimal.Conclusion: This study indicates that the QOC was suboptimal due to poor efficacy indicators, poor knowledge and lack of adequate lifestyle measures, despite the frequency of medical practitioner reviews.Contributions: This study identified gaps in QOC and will aid South African public sector policy-makers in devising quality improvement initiatives.
Publisher AOSIS
Contributor Ms Gill Henry - Biostistician
Date 2023-06-06
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — The study used a descriptive cross-sectional study design
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v65i1.5713
Source South African Family Practice; Vol 65, No 1 (2023): Part 3; 9 pages 2078-6204 2078-6190
Language eng
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://safpj.co.za/index.php/safpj/article/view/5713/8091 https://safpj.co.za/index.php/safpj/article/view/5713/8092 https://safpj.co.za/index.php/safpj/article/view/5713/8094 https://safpj.co.za/index.php/safpj/article/view/5713/8095
Coverage Africa; South Africa; Kwazulu-Natal; Ethekwini District 2020 Jan-April All ages; genders, ethnicity etc
Rights Copyright (c) 2023 Kelly J. Fredericks, Mergan Naidoo https://creativecommons.org/licenses/by/4.0