E-ISSN 2651-3455 (Online) | ISSN 2630-5593 (Print)
Volume : 5 Issue : 1 Year : 2022

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The Anatolian Journal of Family Medicine Evaluation of Management of Patients with Diabetes Mellitus at Primary and Tertiary Healthcare Services [anatol j fm]
anatol j fm. 2022; 5(1): 17-22 | DOI: 10.5505/anatoljfm.2021.04909

Evaluation of Management of Patients with Diabetes Mellitus at Primary and Tertiary Healthcare Services

Elif Fatma Özkan Pehlivanoğlu1, Hüseyin Balcıoğlu2, Göknur Yorulmaz3, Pınar Yıldız3, Uğur Bilge2, İlhami Ünlüoglu2
1Vadişehir Family Health Center, Eskişehir, Turkey
2Department of Family Medicine, Eskişehir Osmangazi University, Eskişehir, Turkey
3Department of Internal Diseases, Eskişehir Osmangazi University, Eskişehir, Turkey

INTRODUCTION: 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).
DISCUSSION AND CONCLUSION: DM is a chronic metabolic disease that requires continuous medical care, and the role of PHS in DM management needs to be increased.

Keywords: Type 2 diabetes, family physicians, chronic disease hospital, noncommunicable disease.

Elif Fatma Özkan Pehlivanoğlu, Hüseyin Balcıoğlu, Göknur Yorulmaz, Pınar Yıldız, Uğur Bilge, İlhami Ünlüoglu. Evaluation of Management of Patients with Diabetes Mellitus at Primary and Tertiary Healthcare Services. anatol j fm. 2022; 5(1): 17-22

Corresponding Author: Elif Fatma Özkan Pehlivanoğlu, Türkiye
Manuscript Language: English
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