RESUMO
The objective of the study is to identify obstacles against optimal implementation of primary diabetic care at the Al-Manhal Primary Health Care Center, Abha, Asir Region, Saudi Arabia. The diabetic register of the health center was assessed to find out the outcome of diabetic care. Two checklists were also used to compile essential diabetic care. There was a poor degree of diabetic control, diabetic care and compliance which did not reach national targets. The degree of compliance was significantly related to the degree of diabetic care but the degree of control was not statistically significant in relation to the degree of care. The obstacles identified were categorized as "non availability all the time or sometimes" and included finance, manpower, logistics and equipment. The methods suggested for the removal of the obstacles were thought necessary and were recommended to other Primary Health Care Centers in Asir Region, Saudi Arabia
Assuntos
Humanos , Atenção Primária à Saúde , Diabetes Mellitus/complicações , PrevalênciaRESUMO
The aim of this study was to assess the effect of an asthma clinic run by general practitioners on patients morbidity, process of care and prescribing for asthma. Seventy asthma patients were studied. Comparisons were done before and 6 months after the intervention. Morbidity was measured in terms of frequency of the asthma attacks, night asthma, days off-work lost, as well as the values of peak flow rates measured by the peak flow meter. Results have shown a statistically significantly decreasing trend in morbidity [P <0.001]. Also, significant reductions were found in the patients requirement to corticosteroid [P <0.01] and the work-days lost [P <0.0001]. Significant improvements in the patients knowledge about asthma and in the inhaler technique were observed after the intervention. Lastly, the use of inhaler bronchodilators and steroids and of prophylactic medication has increased significantly