卡塔尔糖尿病护理的清单

K. Wilbur, M. Ameri
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引用次数: 7

摘要

糖尿病是一种全球性流行病,世界上患病率最高的是海湾公司理事会国家,包括卡塔尔。该国最高卫生委员会已经认识到其严重的健康威胁,并提议制定一项国家糖尿病计划。现有糖尿病护理的基线评估可以为此类设计和实施提供信息。本研究的目的是盘点卡塔尔的糖尿病卫生保健资源。对该国为门诊病人提供服务的私营和公共卫生保健设施进行了前瞻性调查。一份包含9个项目的调查问卷用于确定患者的可及性、多学科服务和药物治疗的可获得性。在52个确定的卫生保健机构中,有35个(67%)参与了调查。5家医院(1家私立医院和4家公立医院)和24家诊所(15家私立医院和9家公立医院)宣布提供专门的糖尿病护理服务。其中大多数位于该国首都。向儿童和青少年提供服务的很少(20%的医院和55%的诊所)。大多数由全科医生领导,多学科贡献有限(护士占73%,营养师占17%)。某些药物治疗的实施可能仅限于专科开处方者,非国民可能无法获得。卡塔尔的糖尿病患者可能会从一系列私人和公共卫生机构寻求治疗。任何应对糖尿病及其并发症的综合国家计划的要素都必须包括加强对初级保健医生的培训支持,扩大对儿童和青少年的多学科护理和服务。版权所有©2011 John Wiley & Sons。
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An inventory of diabetes care in Qatar
Diabetes is a global epidemic and the highest prevalence rates in the world are found in Gulf Corporation Council countries, including Qatar. The country's Supreme Council of Health has recognised its significant health threat and has proposed the formation of a national diabetes plan. Baseline assessment of existing diabetes care can inform such design and implementation. The aim of this study was to inventory diabetes health care resources in Qatar. A prospective survey of private and public health care facilities serving outpatients in the country was conducted. A nine-item questionnaire was administered to determine patient access, multidisciplinary services and availability of drug therapy. Thirty-five (67%) of 52 identified health care settings participated. Services devoted to diabetes care were declared at five hospitals (one private and four public) and 24 clinics (15 private and nine public). The majority were located in the country's capital. Few offered services to children and adolescents (20% of hospitals, 55% of clinics). Most were led by general practitioner physicians with limited multidisciplinary contribution (nurses in 73%, dietitians in 17%). Administration of certain drug therapy may be restricted to specialist prescribers and may be unavailable to non-nationals. Patients with diabetes in Qatar may seek care from an array of private and public health settings. Elements of any comprehensive national plan to address diabetes and its complications must incorporate enhanced training support for primary care physicians, expanded multidisciplinary care and services for children and adolescents. Copyright © 2011 John Wiley & Sons.
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