TY  - JOUR
TI  - Evaluation of Management of Patients with
Diabetes Mellitus at Primary and Tertiary
Healthcare Services
AB  - Objectives: This study aimed to evaluate the management of type 2 diabetes mellitus (DM) patients who apply
to primary healthcare services (PHS) and tertiary healthcare services (THS).
Methods: This is a cross-sectional study that used information about patients diagnosed with DM for at least 1
year from 25 family health centers considered PHS and Health Application and Research Hospital Endocrinology
and Internal Diseases Polyclinics considered THS. A questionnaire including sociodemographic characteristics,
DM-related features, and laboratory parameters was applied to the DM patients.
Results: This study included 979 patients with DM: 515 (52.6%) patients from THS, and 464 (47.4%) from PHS.
The HbA1c value was measured in 509 (98.8%) of the patients who were followed up in THS and 449 (96.8%) of
the patients who were followed up in PHS (p=0.026). It was determined that 68 (13.2%) of the patients in the
THS and 61 (13.1%) of the patients in the PHS had a history of cardiovascular disease (p=0.979). Hypoglycemia
was detected in 66 (12.8%) of DM patients managed in THS and 34 (7.3%) of DM patients managed in PHS
(p=0.005). There was no difference between PHS and THS in terms of diabetic retinopathy, diabetic nephropathy,
and diabetic neuropathy (p=0.098, p=0.100 and p=0.073, respectively).
Conclusion: DM is a chronic metabolic disease that requires continuous medical care, and the role of PHS in
DM management needs to be increased.
AU  - BILGE, UGUR
AU  - Ünlüoglu, İlhami
AU  - Özkan Pehlivanoğlu, Elif Fatma
AU  - YILDIZ, PINAR
AU  - balcıoğlu, hüseyin
AU  - Yorulmaz, Goknur
DO  - 10.5505/anatoljfm.2021.04909
PY  - 2022
JO  - The anatolian journal of family medicine (Online)    
VL  - 5
IS  - 1
SN  - 2630-5593
SP  - 17
EP  - 22
DB  - TRDizin
UR  - http://search/yayin/detay/517024
ER  -