Harris Stewart B, Stewart Moira, Brown Judith Belle, Wetmore Stephen, Faulds Catherine, Webster-Bogaert Susan, Porter Sheila
Centre for Studies in Family Medicine, Department of Family Medicine, University of Western Ontario, London.
Can Fam Physician. 2003 Jun;49:778-85.
To further knowledge of diabetes management in family practice. DESIGN Retrospective, observational chart audit study.
Southwestern Ontario.
A random sample of non-academic family physicians and a random selection of their patients with type 2 diabetes mellitus.
Glycemic control as measured by HbA1c and adherence to recommendations in clinical practice guidelines (CPGs).
Eighty-four percent of patients had at least one HbA1c test ordered in the previous year. Overall mean HbA1c was 0.079 and half-the patients had levels deemed acceptable by 1992 CPGs. Screening for microvascular complications was disappointing; only 28% were tested for microalbuminuria, and 15% were examined for diabetes-related foot conditions. Screening for macrovascular complications was more comprehensive; blood pressure was measured in 88%, and lipid profiles documented in 48%, of patient charts.
Management of glycemic control and screening for microvascular and macrovascular disease in family practice can be improved.
进一步了解家庭医疗中糖尿病的管理情况。设计：回顾性观察图表审核研究。
安大略省西南部。
非学术性家庭医生的随机样本及其随机选取的2型糖尿病患者。
通过糖化血红蛋白（HbA1c）测量血糖控制情况以及对临床实践指南（CPGs）中建议的遵循情况。
84%的患者在前一年至少进行了一次HbA1c检测。总体平均糖化血红蛋白为0.079，半数患者的糖化血红蛋白水平被1992年临床实践指南认定为可接受。微血管并发症筛查情况令人失望；仅28%的患者接受了微量白蛋白尿检测，15%的患者接受了糖尿病相关足部状况检查。大血管并发症筛查更为全面；88%的患者病历记录了血压测量情况，48%记录了血脂情况。
家庭医疗中血糖控制管理以及微血管和大血管疾病筛查有待改善。
