Hypertension and diabetes: poor care for patients at community health centres

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dc.contributor.authorSteyn, Krisela
dc.contributor.authorLevitt, Naomi S
dc.contributor.authorPatel, Maya
dc.contributor.authorFourie, Jean
dc.contributor.authorGwebushe, Nomonde
dc.contributor.authorLombard, Carl
dc.contributor.authorEverett, Kathy
dc.date.accessioned2017-04-05T06:35:37Z
dc.date.available2017-04-05T06:35:37Z
dc.date.issued2008
dc.date.updated2016-01-07T08:22:18Z
dc.description.abstractObjectives. To identify health care provider-related determinants of diabetes and hypertension management in patients attending public sector community health centres (CHCs). Methods. A random sample of 18 CHCs in the Cape Peninsula providing hypertension and diabetes care was selected. Twenty-five patients with diabetes and 35 with hypertension per clinic were selected and interviewed by trained fieldworkers, and their medical records were audited. Regression analyses identified predictors of controlled hypertension (<140/90 mmHg) and diabetes (HbA1c <7%). In-depth interviews with nurses and doctors explored their experiences in working at the CHCs. Height, weight and blood pressure (BP) were measured for all patients and random blood samples collected for lipids, glucose, HbA1c and creatinine. Results. Of the participants 923 had hypertension and 455 diabetes (289 had both conditions). Of the hypertensive patients 33% had a BP <140/90 mmHg, while 42% of the patients with diabetes had non-fasting glucose levels below 11.1 mmol/l. Patients' knowledge about their conditions was poor. Prescriptions for drugs were not recorded in medical records of 22.6% of the patients with diabetes and 11.4% of those with hypertension. Conclusions. Primary care for patients with hypertension and diabetes at public sector CHCs is suboptimal. This study highlights the urgent need to improve health care for patients with these conditions in public sector clinics in the Cape Peninsula.
dc.identifierhttp://dx.doi.org/10.1080/22201009.2008.10872172
dc.identifier.apacitationSteyn, K., Levitt, N. S., Patel, M., Fourie, J., Gwebushe, N., Lombard, C., & Everett, K. (2008). Hypertension and diabetes: poor care for patients at community health centres. <i>Journal of Endocrinology, Metabolism and Diabetes of South Africa</i>, http://hdl.handle.net/11427/24154en_ZA
dc.identifier.chicagocitationSteyn, Krisela, Naomi S Levitt, Maya Patel, Jean Fourie, Nomonde Gwebushe, Carl Lombard, and Kathy Everett "Hypertension and diabetes: poor care for patients at community health centres." <i>Journal of Endocrinology, Metabolism and Diabetes of South Africa</i> (2008) http://hdl.handle.net/11427/24154en_ZA
dc.identifier.citationSteyn, K., Levitt, N. S., Patel, M., Gwebushe, N., Lombard, C., & Everett, K. (2008). Hypertension and diabetes: poor care for patients at community health centres. Journal of Endocrinology, Metabolism and Diabetes of South Africa, 13(2), 64-70.
dc.identifier.ris TY - Journal Article AU - Steyn, Krisela AU - Levitt, Naomi S AU - Patel, Maya AU - Fourie, Jean AU - Gwebushe, Nomonde AU - Lombard, Carl AU - Everett, Kathy AB - Objectives. To identify health care provider-related determinants of diabetes and hypertension management in patients attending public sector community health centres (CHCs). Methods. A random sample of 18 CHCs in the Cape Peninsula providing hypertension and diabetes care was selected. Twenty-five patients with diabetes and 35 with hypertension per clinic were selected and interviewed by trained fieldworkers, and their medical records were audited. Regression analyses identified predictors of controlled hypertension (<140/90 mmHg) and diabetes (HbA1c <7%). In-depth interviews with nurses and doctors explored their experiences in working at the CHCs. Height, weight and blood pressure (BP) were measured for all patients and random blood samples collected for lipids, glucose, HbA1c and creatinine. Results. Of the participants 923 had hypertension and 455 diabetes (289 had both conditions). Of the hypertensive patients 33% had a BP <140/90 mmHg, while 42% of the patients with diabetes had non-fasting glucose levels below 11.1 mmol/l. Patients' knowledge about their conditions was poor. Prescriptions for drugs were not recorded in medical records of 22.6% of the patients with diabetes and 11.4% of those with hypertension. Conclusions. Primary care for patients with hypertension and diabetes at public sector CHCs is suboptimal. This study highlights the urgent need to improve health care for patients with these conditions in public sector clinics in the Cape Peninsula. DA - 2008 DB - OpenUCT DP - University of Cape Town J1 - Journal of Endocrinology, Metabolism and Diabetes of South Africa LK - https://open.uct.ac.za PB - University of Cape Town PY - 2008 T1 - Hypertension and diabetes: poor care for patients at community health centres TI - Hypertension and diabetes: poor care for patients at community health centres UR - http://hdl.handle.net/11427/24154 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/24154
dc.identifier.vancouvercitationSteyn K, Levitt NS, Patel M, Fourie J, Gwebushe N, Lombard C, et al. Hypertension and diabetes: poor care for patients at community health centres. Journal of Endocrinology, Metabolism and Diabetes of South Africa. 2008; http://hdl.handle.net/11427/24154.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.sourceJournal of Endocrinology, Metabolism and Diabetes of South Africa
dc.source.urihttp://www.tandfonline.com/toc/oemd20/current
dc.titleHypertension and diabetes: poor care for patients at community health centres
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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