Evaluation of a Quality Improvement Program Implementation on Diabetic Care Satisfaction and Utilization in Academic Family Practice Center, Ismailia, Egypt


  • Hanan Abbas Abdo Abdel Rahman suez canal university, faculty of medicine, family medicne departement


Quality, Quality Improvement, diabetes care, patient satisfaction


Introduction: Quality in health defined as providing client-centered services and meeting clients’ needs. Assessment of patient satisfaction has been used as a measure of service outcome.  Providers in all settings frequently do not meet diabetes quality-of-care standards as outlined by most Diabetes care guidelines. Suboptimal care found in academic medical centers, and private doctors’ offices. Aim of the study: The aim of study is to improve diabetic care and patient satisfaction. Methodology: a quasi-experimental design used at an academic rural family medicine center affiliated to Suez Canal University hospital. It involved (105) type 2 diabetic adult patients selected through systematic random sampling from attending patient and 75discontinuors interviewed through home visits. Results: The main reasons for dissatisfaction were deficient health education on foot care, high cost, and lack of appointment system. The percentage of satisfied patients was significantly higher in the post-intervention sample (p<0.001). In total, 41 (39.0%) patients were dissatisfied with the service pre-intervention, compared to only 1(1.0%) patient post-intervention (p<0.001).Multivariate analysis revealed that the intervention was a positive predictor of the satisfaction scores. Conclusion: implementation of intervention programs based on client needs assessment improves the quality of diabetic care outcomes and service utilization.



Daniel A., Burn R., and Horarik S. (1999): Patients’ complaints about Medical Practice. Med J. Aust; 170: 598-602.

Chassin M.R., and Galvin R.W. (1998): The urgent need to improve health care quality. Institute of Medicine National Roundtable on Health Care Quality. JAMA; 280:1000–5.

Agency for Healthcare Research and Quality [AHRQ], (2006): CAHPS hospital survey chartbook what patients say about their experiences with hospital care. Report of summary data from hospital test sites. Prepublication copy; 23(6): 842–849.

Brwon J. (2001): A. The Healthcare Quality Handbook: A Professional Resource and Study Guide. 16th ed., Pasadena, CA: Managed Care Consultants, pp. 540-90.

American Governance and Leadership Group, L.L.C. (2001): “The Leader’s Perspective: Concepts, Tools and Techniques in Opportunity Analysis.â€Disease Management & Quality Improvement Report; 1(6).

Wagner E., 2012: Improving Chronic Illness Care: Translating Evidence into Action. Interventions that encourage people to acquire self-management skills are essential in chronic illness care.

Stephen L. (2003): A diabetes shared care scheme Patient/GP satisfaction survey results. October 17 | 2003;34:36

Davidson, P.L., Anderson, R.M., Wyn R., & Brown E.R. (2004): A Framework for Evaluating Safety-Net and Other Community-Level Factors on Access for Low-Income Populations. Inquiry; 41(1).

Hamilton W., Round A., and Sharp D. (2002): Patient, hospital, and general practitioner characteristics associated with nonattendance: a cohort study. British Journal of General Practice; 52: 317-319.

Karter A..J., Stevens M.R., Brown A.F., Duru O.K., Gregg E.W., Gary T.L., Beckles G.L., Tseng C.W., Marrero D.G., Waitzfelder B., Herman W.H., Piette J.D., Safford M.M., and Ettner S.L. (2007): Educational disparities in health behaviors among patients with diabetes: the Translating Research Into Action for Diabetes (TRIAD) Study. BMC Public Health; 7: 308.

Zavieh E. (2003): Initiatives to improve attendance at diabetic outpatient clinics, pp.5-7.

Griffin, (1998): Lost to follow up: the problem of defaulters from diabetes clinics. Diabet Med; 15(3): 14-24

Alberti H., Boudriga N., and Nabli M. (2007): Primary care management of diabetes in a low/middle income country: A multi-method, qualitative study of barriers and facilitators to care. BMC Fam Pract.; 8: 63.

Whiting D.R., Hayes L., Unwin N.C. (2003): Diabetes in Africa Challenges to health care for diabetes in Africa. J Cardiovasc Risk.;10:103–110.

Maddigan S.L., Majumdar S.R., Guirguis L.M., Lewanczuk, R.Z. Lee T. K., LToth E., and Johnson J.A. (2004): Improvements in Patient-Reported Outcomes Associated With an Intervention to Enhance Quality of Care for Rural Patients With Type 2 Diabetes Results of a controlled trial Clinical Diabetes;.29(260): 68.




How to Cite

Rahman, H. A. A. A. (2015). Evaluation of a Quality Improvement Program Implementation on Diabetic Care Satisfaction and Utilization in Academic Family Practice Center, Ismailia, Egypt. Asian Journal of Pharmacy, Nursing and Medical Sciences, 3(1). Retrieved from https://ajouronline.com/index.php/AJPNMS/article/view/927