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[Quality of care in type 2 diabetes, progressand challenges from 2012 to 2018-19 forthe Mexican health system].

作者信息

Flores-Hernández Sergio, Acosta-Ruiz Omar, Hernández-Serrato María Isidra, Delgado-Rodríguez Sheila, Reyes-Morales Hortensia

机构信息

Centro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, México.

Centro de Información para Decisiones en Salud Pública, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, México.

出版信息

Salud Publica Mex. 2020 Nov-Dec;62(6):618-626. doi: 10.21149/11876.

DOI:10.21149/11876
PMID:33620960
Abstract

OBJECTIVE

To estimate changes in the quality of process of care and its association with glycaemic control in adults with type 2 diabetes.

MATERIALS AND METHODS

Changes in compliance of 14 process of care indicators for 9 038 adults with type 2 diabetes and glycaemic control in a subsample were estimated. Averages, weighted changes and associations without or controlling for other factors were estimated us-ing statistical weights for the combined data (Ensanut 2012 and Ensanut 2018-19).

RESULTS

From 2012 to 2018-19, glycaemic control doubled. Early detection of complications and increased insuline use improved, but identification and treatment of cardiovascular risk factors decreased. The overall quality of care was associated with optimal glycaemic control.

CONCLUSIONS

There are areas of opportunity for improvement of quality of care, that deserve comprehensive strategies and continuous monitoring.

摘要

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