Uema Sonia A, Olivera Maria E
Departamento de Farmacia, Facultad de Ciencias Químicas, Universidad Nacional de Córdoba, Argentina.
Rev Fac Cien Med Univ Nac Cordoba. 2012 Mar;69(1):25-32.
To describe the characteristics of diabetic patients' population attended in the public health sector of Alta Gracia city. To analyze the use of amount of monthly dispensations as indicator of adherence to treatment, by comparing the results between settings. To assess the coordination of public facilities for patients attention.
observational descriptive-analytical study.
Hospital Arturo Umberto Illia (HAUI) and Dirección de Salud Pública (DSP). Alta Gracia (province of Córdoba, Argentina).
diabetic patients belonging to health programs at public facilities.
demographic and epidemiological variables, amount of monthly dispensations, percentage of global adherence and coordination of settings.
From diabetic patients' total (n=540): 52% were attended at HAUI, 39% at DSP, and 9% at both settings; 55% were female, and the average age was about 56 years old; 81% were type 2 Diabetes Mellitus (DM), 1% type 2 insulin-requiring DM, and 17% type 1 DM; the general mean of amount of monthly dispensations by patient was 4,9 in 12 months. Lack of trained personnel for information managing in both facilities was observed.
The databases allowed knowing some demographic characteristics of diabetic population attended in the public sector of Alta Gracia. The dispensing frequency during 12 months was able to be used as an adherence to treatment indicator. The scarce coordination between care levels and jurisdictions (provincial and municipal) were confirmed. For decision making it is necessary to generate and maintain information systems.
描述阿尔塔格拉西亚市公共卫生部门就诊的糖尿病患者群体特征。通过比较不同机构的结果，分析每月配药数量作为治疗依从性指标的使用情况。评估公共设施为患者提供服务的协调性。
观察性描述分析研究。
阿尔图罗·温贝托·伊利亚医院（HAUI）和公共卫生部（DSP）。阿尔塔格拉西亚（阿根廷科尔多瓦省）。
公共设施中参加健康项目的糖尿病患者。
人口统计学和流行病学变量、每月配药数量、总体依从率和机构协调性。
在总计540名糖尿病患者中，52%在HAUI就诊，39%在DSP就诊，9%在两个机构均有就诊；55%为女性，平均年龄约56岁；81%为2型糖尿病（DM），1%为需胰岛素治疗的2型DM，17%为1型DM；患者每月配药数量的总体平均值在12个月内为4.9次。观察到两个机构均缺乏信息管理方面的专业人员。
数据库有助于了解阿尔塔格拉西亚市公共部门就诊的糖尿病患者的一些人口统计学特征。12个月内的配药频率可作为治疗依从性指标。证实了护理层级与管辖区域（省级和市级）之间缺乏协调性。为了进行决策，有必要建立和维护信息系统。
