Quality of care and cost of prescriptions for diabetes and hypertension at primary healthcare facilities in the Cape Town Metropole
Rattachement africain : Afrique du Sud, us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Background: Quality of care for diabetes mellitus and hypertension has been found to be suboptimal at primary health care level. There is an expectation that improving quality will require the increased utilisation of resources. This research was intended to determine the quality of care and cost of prescriptions at 10 facilities in the Cape Town Metropole.Method: An analytical, cross-sectional study was conducted in order to relate the cost of medication to quality-of-care indicators for patients with diabetes mellitus and hypertension. Data were collected at the 10 facilities in the Cape Town Metropole over a three-month period.Results: Quality-of-care processes were performed more often in diabetic than in hypertensive patients, i.e. determination of body mass index (BMI) 52.4% vs. 46.4%, creatinine 45.2% vs. 35.7% and cholesterol 44.5% vs. 35.4%, respectively. Nevertheless, outcome measures were better in the hypertensive patients. Targets were achieved in hypertensive vs. diabetic patients, respectively, as follows: BMI (22.2% vs.18.1%), blood pressure (39.8% vs. 28.7%), creatinine (93.2% vs. 91.4%) and cholesterol (46.8% vs. 44%). The median cost per script was R44.66 and R30.06 for diabetic and hypertensive patients with good quality-of-care scores, respectively, and R51.18 and R31.00, for those with poor quality-of-care scores.Conclusion: The quality of care provided was poor when compared with the guideline recommendations, but was comparable to care provided in many other populations. There was no correlation between quality of care and the cost of the prescriptions.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Quality of care and cost of prescriptions for diabetes and hypertension at primary healthcare facilities in the Cape Town Metropole
- Date Crossref
- 30/03/2015
- Éditeur
- AOSIS
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Western Cape Department of Health Western Cape Department of Health, Afrique du Sud (code pays fourni par la source)Organisme public
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University of Cape Town University of Cape Town, Afrique du Sud (code pays fourni par la source)Université ou école supérieure
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Metro Health Hospital pays non établi dans la noticeÉtablissement de santé
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Faculty of Health Sciences Division of Family Medicine Western Cape, Afrique du Sud (pays nommé en fin d’affiliation)Université ou école supérieure
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Metro District Health Services Western Cape, Afrique du Sud (ville ou établissement reconnu, pays non nommé)Institution
Western Cape Department of Health (Western Cape Department of Health, Afrique du Sud), University of Cape Town (University of Cape Town, Afrique du Sud) et Metro Health Hospital, avec 2 autres affiliations. Pays d’affiliation : Afrique du Sud.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.