Quality of care and Outcomes of Diabetic Extremity Patients after the Implementation of the Revised Diabetes Extremity Care Team Protocol of The Philippine General Hospital
Philippine Journals Online
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| Title |
Quality of care and Outcomes of Diabetic Extremity Patients after the Implementation of the Revised Diabetes Extremity Care Team Protocol of The Philippine General Hospital
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| Creator |
Marbert John T Cardino; Fellows-in-training, Section of Endocrinology, Diabetes and Metabolism, UP-PGH
Cindy V Josol; Fellows-in-training, Section of Endocrinology, Diabetes and Metabolism, UP-PGH Iris Thiele Isip-Tan; Active Consultant, Section of Endocrinology, Diabetes and Metabolism, UP-PGH |
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| Subject |
Endocrinology
Diabetes mellitus; infected diabetic foot; quality of care |
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| Description |
Background: It has been 10 years since the implementation of the diabetes extremity care team (DECT) of the Philippine General Hospital (PGH). Since the report of Isip-Tan in 1999 where a suboptimal quality of care of the services of the DECT was evident, there had been no subsequent studies done to audit the Services of the team. Objectives: The primary objective of this study is to assess the quality of care given by the Diabetes Extremity Care Team (DECT) to patients admitted to the PGH medical wards for diabetic foot using the Structure- Process-Outcome Model. Study Design: Retrospective review of charts from 2004-2007 with a diagnosis of diabetic foot ulcer. Population: All patients admitted at the Philippine General Hospital from 2004-2007 with a primary diagnosis of an infected diabetic foot as recorded in the DECT logbook. Quality of Care Indicators: 1) Structure - DECT and liason services response rates; 2) Process-Adequacy of diagnostics, appropriateness of antibiotics, adequacy of foot examination, documentation of the body mass index, dietary advice, fundoscopy Outcome: Morbidity, mortality, functional impairment and patient satisfaction. Results: Using the Structure-Process-Outcome Model, major improvements were needed at the level of the structure and process. These observations were not different from the earlier findings of Isip-Tan. Conclusion: The study showed that the quality of care by the DECT to the admitted diabetic foot ulcer patients remained suboptimal and can still be improved. Keywords: Diabetes mellitus; infected diabetic foot; quality of care DOI: 10.3860/pjim.v47i2.1643 Phil. J. Internal Medicine, 47: 57-63, March-April, 2009
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| Publisher |
The Philippine College of Physicians
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| Date |
2010-07-23
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| Type |
Peer-Reviewed Article
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| Format |
application/pdf
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| Identifier |
http://www.philjol.info/index.php/PJIM/article/view/1643
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| Source |
Philippine Journal of Internal Medicine; Vol 47, No 2 (2009); 57-63
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| Language |
en
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| Coverage |
Philippines
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