RESUMEN
Changes in use by the elderly of the emergency department of a major hospital in Al-Ain in the years 1989 and 1999 were examined. All patients aged 65 years or older who attended the emergency room were included in this cross-sectional survey. Patient numbers rose from 321 in 1989 to 1347 in 1999 with no significant change in the female to male ratio of 0.78 or the mean age of the elderly attendees 72.9 +/- 7.4 years. Attendance rose 5.4 fold while non-urgent attendance rose 14.7 fold, demonstrating rising use but falling illness severity over time
Asunto(s)
Femenino , Humanos , Masculino , Distribución por Edad , Anciano/estadística & datos numéricos , Análisis de Varianza , Atención a la Salud/organización & administración , Tratamiento de Urgencia/métodos , Conocimientos, Actitudes y Práctica en Salud , Transición de la Salud , Tiempo de Internación/tendencias , Morbilidad , Aceptación de la Atención de Salud/estadística & datos numéricos , Índice de Severidad de la EnfermedadRESUMEN
We evaluated a diabetic mini-clinic by assessing adherence to American Diabetes Association guidelines and changes in glycosylated haemoglobin levels. Of 1063 patients, 721 were multiple attenders. Single and multiple attenders showed no significant differences in age, sex, time since diagnosis or body mass index. Female and male multiple attenders showed significant declines in glycosylated haemoglobin levels over the first 12 and 18 months respectively. After 2 years, these levels were similar to those at entry to the clinic. The clinic's compliance with standard measurement guidelines was high. The diabetic mini-clinic model, which is effective in industrialized countries, was equally effective in this setting