Evaluating the quality of care for patients with type 2 diabetes mellitus based on the HbA1c: A national survey in Iran
Objective: The present study was conducted to evaluate the quality of care for type2 diabetic patients based on the HbA1c in Iran. Materials and methods: This cross-sectional study was conducted in 2019 among patients with type 2 diabetes in Iran. The data were collected through a three-part questio...
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doaj-b86df611355a424182744b8a95fdb7052021-04-09T10:09:04ZengElsevierHeliyon2405-84402021-03-0173e06485Evaluating the quality of care for patients with type 2 diabetes mellitus based on the HbA1c: A national survey in IranGhobad Moradi0Azad Shokri1Amjad Mohamadi-Bolbanabad2Bushra Zareie3Bakhtiar Piroozi4Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, IranSocial Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, IranSocial Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, IranDepartment of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, IranSocial Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran; Corresponding author.Objective: The present study was conducted to evaluate the quality of care for type2 diabetic patients based on the HbA1c in Iran. Materials and methods: This cross-sectional study was conducted in 2019 among patients with type 2 diabetes in Iran. The data were collected through a three-part questionnaire including demographic information, disease-related records, and HbA1C status of patients. Multiple logistic regression was used to investigate the relationship between the outcome variable (HbA1c status) and the independent variables in Stata 12. Results: The mean HBA1c was 8.01 ± 1.76% among 1,198 diabetic patients, and more than 66% of them had HBA1c above 7%, i.e. they had uncontrolled blood sugar levels. HBA1c has the highest average among people with more than 10 years of diabetes (8.47 ± 1.77%), self-employed people (8.36 ± 1.94%), illiterate people or those with elementary education (8.13 ± 1.76%) and people with poor economic status (8.12 ± 1.79%). Also, in the final model, people with more than 10 years of disease history had the highest prevalence of HBA1C > 7 with a chance ratio of 3.28 (P < 0.001, 95%CI: 2.37–4.53) and followed by illiterate people or those with elementary education with a chance ratio of 1.6 (P = 0.020, 95%CI: 1.08–2.39) compared to those with high school diploma or academic education. Conclusion: The prevalence of adverse HBA1c in 66% of the studied subjects indicates an inappropriate status of diabetes control in Iran. This indicates the poor quality of services provided to the diabetics. This is a warning sign and requires appropriate interventions to improve the quality of services provided to diabetic patients.http://www.sciencedirect.com/science/article/pii/S2405844021005909Diabetes mellitus type 2HbA1cQuality of health careIran |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ghobad Moradi Azad Shokri Amjad Mohamadi-Bolbanabad Bushra Zareie Bakhtiar Piroozi |
spellingShingle |
Ghobad Moradi Azad Shokri Amjad Mohamadi-Bolbanabad Bushra Zareie Bakhtiar Piroozi Evaluating the quality of care for patients with type 2 diabetes mellitus based on the HbA1c: A national survey in Iran Heliyon Diabetes mellitus type 2 HbA1c Quality of health care Iran |
author_facet |
Ghobad Moradi Azad Shokri Amjad Mohamadi-Bolbanabad Bushra Zareie Bakhtiar Piroozi |
author_sort |
Ghobad Moradi |
title |
Evaluating the quality of care for patients with type 2 diabetes mellitus based on the HbA1c: A national survey in Iran |
title_short |
Evaluating the quality of care for patients with type 2 diabetes mellitus based on the HbA1c: A national survey in Iran |
title_full |
Evaluating the quality of care for patients with type 2 diabetes mellitus based on the HbA1c: A national survey in Iran |
title_fullStr |
Evaluating the quality of care for patients with type 2 diabetes mellitus based on the HbA1c: A national survey in Iran |
title_full_unstemmed |
Evaluating the quality of care for patients with type 2 diabetes mellitus based on the HbA1c: A national survey in Iran |
title_sort |
evaluating the quality of care for patients with type 2 diabetes mellitus based on the hba1c: a national survey in iran |
publisher |
Elsevier |
series |
Heliyon |
issn |
2405-8440 |
publishDate |
2021-03-01 |
description |
Objective: The present study was conducted to evaluate the quality of care for type2 diabetic patients based on the HbA1c in Iran. Materials and methods: This cross-sectional study was conducted in 2019 among patients with type 2 diabetes in Iran. The data were collected through a three-part questionnaire including demographic information, disease-related records, and HbA1C status of patients. Multiple logistic regression was used to investigate the relationship between the outcome variable (HbA1c status) and the independent variables in Stata 12. Results: The mean HBA1c was 8.01 ± 1.76% among 1,198 diabetic patients, and more than 66% of them had HBA1c above 7%, i.e. they had uncontrolled blood sugar levels. HBA1c has the highest average among people with more than 10 years of diabetes (8.47 ± 1.77%), self-employed people (8.36 ± 1.94%), illiterate people or those with elementary education (8.13 ± 1.76%) and people with poor economic status (8.12 ± 1.79%). Also, in the final model, people with more than 10 years of disease history had the highest prevalence of HBA1C > 7 with a chance ratio of 3.28 (P < 0.001, 95%CI: 2.37–4.53) and followed by illiterate people or those with elementary education with a chance ratio of 1.6 (P = 0.020, 95%CI: 1.08–2.39) compared to those with high school diploma or academic education. Conclusion: The prevalence of adverse HBA1c in 66% of the studied subjects indicates an inappropriate status of diabetes control in Iran. This indicates the poor quality of services provided to the diabetics. This is a warning sign and requires appropriate interventions to improve the quality of services provided to diabetic patients. |
topic |
Diabetes mellitus type 2 HbA1c Quality of health care Iran |
url |
http://www.sciencedirect.com/science/article/pii/S2405844021005909 |
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