PERFORMANCE MEASURES AND FACTORS AFFECTING QUALITY OF DIABETES CARE IN REMBAU

Introduction

The quality of healthcare can be categorized into a few categories according to the aspect of care being assessed. One of the assessments is performance measurement on particular healthcare processes or outcomes. The main purpose of this study is to analyse the performance achievement in providing diabetes care through an assessment of clinical outcomes and healthcare process in public health clinics in Rembau. The study continues with the aim to identify the potential factors within the organization that influence performance in providing diabetes care.  

Methodology

This study was conducted via the mixed methods approach. The first part was an analysis of the performance achievement in providing diabetes care, which was conducted using the quantitative method through retrospective data review. The second part was the identification of the potential factors in the organization of the healthcare team that influence the performance of providing diabetes care and was conducted through the qualitative method through face-to-face structured interviews.  

Results

The performance is suboptimal, and the achievements are varied between each care process with the lowest care performance on complex care processes including electrocardiogram (ECG), fundus and foot examination. The potential factors that influence the diabetes care performance are multifactorial and highly inter-related, including lack of structured care specific for diabetes, inefficient appointment system, preference for paper-based practice, high workload and inadequate resources.  

Conclusion

The best measures to overcome these issues is by adopting Chronic Care Model to improve the overall quality of care as well as quality of life among diabetes patients.    

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