Hassoune S, Badri S, Nani S, Belhadi L, Maaroufi A
Laboratoire d'Epidémiologie, Faculté de Médecine et de Pharmacie de Casablanca, Casablanca, Maroc.
East Mediterr Health J. 2013 Jan;19(1):52-8.
Diabetes is a disease of concern due to its increasing frequency and high cost of care. This cross-sectional study evaluated the types of care provided to diabetes patients in primary care for management of the condition. Between December 2010 and March 2011, 54 general practitioners (CPs) in health centres in Khouribga province were asked to complete a pretested questionnaire on their care of diabetes patients. For type 2 diabetes, 46% of the CPs would prescribe diet and lifestyle treatment alone. The practice setting influenced how treatment was managed for typel diabetes patients: 88.5% of rural doctors prescribed premixed insulin versus 58.3% of urban GPs (P = 0.02). Insulin analogues were prescribed by 20.8% of urban GPs as against 3.8% of rural GPs (P = 0.09). There are several shortcomings in the quality of care for diabetes patients. Training GPs could be a solution, especially with the lack of specialists in our country.
糖尿病是一种令人担忧的疾病，因其发病率不断上升且护理成本高昂。这项横断面研究评估了初级保健中为糖尿病患者提供的病情管理护理类型。2010年12月至2011年3月期间，胡里卜盖省各健康中心的54名全科医生被要求填写一份关于他们对糖尿病患者护理情况的预测试问卷。对于2型糖尿病，46%的全科医生仅会开出饮食和生活方式治疗的处方。执业环境影响了1型糖尿病患者的治疗管理方式：88.5%的乡村医生开具预混胰岛素，而城市全科医生的这一比例为58.3%（P = 0.02）。20.8%的城市全科医生开具胰岛素类似物，而乡村医生的这一比例为3.8%（P = 0.09）。糖尿病患者的护理质量存在若干缺陷。培训全科医生可能是一种解决办法，尤其是鉴于我国缺乏专科医生。
