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Revista Médica del Uruguay

versión impresa ISSN 0303-3295versión On-line ISSN 1688-0390

Resumen

DEUTSCH, Ilse et al. Caracterización de la población y evaluación de la calidad asistencial de los niños controlados en la Unidad de Diabetes del Centro Hospitalario Pereira Rossell. Rev. Méd. Urug. [online]. 2016, vol.32, n.2, pp.109-117. ISSN 0303-3295.

Abstract Introduction: diabetes mellitus is a chronic disease that is most common children. Analysing quality health care indicators contributes to improving the healthcare services. Objective: to describe the main epidemiological and clinical characteristics of diabetic patients seen at the Diabetes Unit of the General Pediatrics Policlinic of Reference. To evaluate healthcare quality based on indicators. Method: descriptive, retrospective study based on clinical records of patients seen at the Diabetes Unit between July 1, 2012 and July 1, 2013. Indicators were defined for healthcare services and results. Results were classified into good ?80%, acceptable 60% - 80% and bad < 80%. Median and averages were calculated to serve as a measure of the central trend. Results were expressed in absolute frequencies and percentages, with their corresponding confidence interval of 95%. Results: 83 patients were included. Median age was 12 years old, 56% of them were male and 66% of them lived in the provinces. Median age upon diagnosis was 6 years old. Median disease evolution was five years. Three out of nine of the quality indicators were evaluated as good, five as acceptable and one as bad. The main flaw was average measurements of HbA1c. Conclusions: quality indicators were acceptable. Microvascular screening needs to be improved, and in particular, the metabolic follow up of the disease. Regular evaluation of quality indicators will enable improving healthcare quality.

Palabras clave : QUALITY OF HEALTH CARE; DIABETES MELLITUS; PEDIATRICS.

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