Evaluation of a Quality Improvement Program Implementation on Diabetic Care Satisfaction and Utilization in Academic Family Practice Center, Ismailia, Egypt
Keywords:Quality, Quality Improvement, diabetes care, patient satisfaction
Introduction: Quality in health defined as providing client-centered services and meeting clientsâ€™ needs. Assessment of patient satisfaction has been used as a measure of service outcome.Â 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 doctorsâ€™ 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.
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