الفهرس 
Quality in health care systemOnly 14 pages are availabe for public view
 |  | from | 118 |  |  |
| | | from | 118 | | |
Abstract
The first step of any quality assurance program is the assessment of quality of services provided to patients to reveal defects in the healthcare settings and the services provided to diabetics as one of the major public health problems.
Diabetes is a common chronic health problem, which if not well managed it can lead to serious complications. Egypt is considered, by the international Diabetes federation one of the top ten countries worldwide in the prevalence of diabetes. It is clear that optimal diabetes management requires an organized, systematic approach and involvement of coordinated team of dedicated health care professionals working in an environment where patient- centered high quality care is a priority. The health sector in Egypt still suffers from a number of problems. These problems include deterioration in quality of services provided, nursing problems and shortage of fund. Finally, the health insurance in Egypt faces some fatal distortions. These problems suggest that health reform in Egypt requires coherent policies not separated ones.
This study aimed to
Comparing the quality of care offered to diabetic patients (non-insulin dependent diabetes mellitus) (NIDD) :( type two diabetes mellitus) (T2DM) in two different health organizational settings namely Health Insurance Organization (HIO) and Ministry of Health and Population (MOHP)
[
A cross-sectional study was conducted in two clinics of Health Insurance Organization (HIO) and two clinics of Ministry of Health and Population, from each organization one clinic was adopting the Health Sector Reform Program (HSRP). The study sample consists of 95 diabetic patients in each clinic and their records, all providers of care including managers, physicians, pharmacists, nurses, and, laboratory technicians. Data collection was done using especially designed interviewing questionnaires for diabetic patients, healthcare providers and managers. Also checklist for assessing structure, observation checklist and record review form were used for data collection.
The study revealed the following findings:
1. The building items and its infrastructures were fulfilled in all clinics
2. Concerning supply of drugs inventory, laboratory tests, health education schedule sessions, and the counseling room, the total average percent in clinics was higher in HIO reform clinic (95.5%),followed by MOHP reform clinic (83.33%),HIO model(66.6%) and MOHP no-reform clinic(40.9%).
3. The providers’ characteristics were variable between HIO and MOHP clinics. For managers they were of younger age in reform clinics, one had master of family health, the other had diploma in hospital administration. For physicians, a mix of G.Ps. and medical specialists in all clinics was detected except in MOHP no-reform clinic where all were specialists; their opinions in quality of services and administrative organization were variable and not coinciding with attained levels.
4. The clinics characteristics were variable in HIO and MOHP with higher population rostered in HIO modeled clinic. The reform clinics were keeping an organized, more accurate medical records, keeping an appointment policy and incentive system, continuous medical education program was held and clinical practice guidelines available, the shortage of nurses were substituted with a clerical assistant for secretarial job.