Nani S, Hassoune S, Chinab N, Boumdi Z, Maaroufi A
Tunis Med. 2013 Jun;91(6):410-4.
Diabetes is a global health problem in full expansion, because of its increasing frequency, it frightening complications and the costs of its medical covering.
In this study, we tried to make the current situation of the diabetes management in first-line public structures of the city of Casablanca.
The survey of transverse observation to descriptive aiming was conducted using a pre questionnaire tested and selfadministered.
It shows that 46.7 % of the questioned general practitioner judged that the quantity and the quality of average therapeutic existing in the center were insufficient to meet the needs for their diabetic patients. The weak socio-economic statute of the patients (78.8% of the cases), the lack of personnel (76.6%), the low educational level of patients (75.2%) and the problem of access to hospital (73.3%) constituted major problems of the correct diabetic medical covering. However, the majority of the doctors (98.1%) estimated to need training on diabetes management. The most required topics requested are: The control of the insulin treatment (97%), the diabetic education (91%) and the follow-up of diabetic (89%).
The training of general practitioners particularly motivated and interested in diabetes could be the solution to improve the management of diabetes especially because of the lack of specialists in our country.
糖尿病是一个正在全面蔓延的全球性健康问题，因其发病率不断上升、令人恐惧的并发症以及医疗负担成本。
在本研究中，我们试图了解卡萨布兰卡市一线公共机构中糖尿病管理的现状。
采用经过测试的自填式预调查问卷进行描述性横向观察调查。
结果显示，46.7%的受访全科医生认为中心现有的平均治疗数量和质量不足以满足其糖尿病患者的需求。患者社会经济地位薄弱（78.8%的病例）、人员短缺（76.6%）、患者教育水平低（75.2%）以及就医问题（73.3%）构成了糖尿病正确医疗覆盖的主要问题。然而，大多数医生（98.1%）估计需要接受糖尿病管理方面的培训。最需要的主题是：胰岛素治疗控制（97%）、糖尿病教育（91%）和糖尿病随访（89%）。
鉴于我国缺乏专科医生，对糖尿病特别有积极性和兴趣的全科医生进行培训可能是改善糖尿病管理的解决方案。
