Análisis de la gestión del proceso y de la variabilidad en el manejo de la diabetes mellitus en Galicia

Resumo

Objectives: a) to establish an approximation to the load of morbidity and management of the process of the diabetes mellitus in Galicia and b) to know the variability in the handle of the diabetes mellitus between areas of primary health care. Material and methods: analysis of the indicators obtained from different sanitary information systems and comparison of the results between the areas of primary care in Galicia. Results: the global prevalence of diabetes mellitus in Galicia by area of primary care oscillates between the 4,7 and 7%, the group of age with higher prevalence is the one of majors of 64 years, with a rank between the 16 and 20,9%. Differences between the areas of primary care regarding the frecuentation of general medicine and pediatric consultations of the diabetic patients have been found, being the difference between the extreme values of 5,16. Variability between the different areas also exists regarding the averages from derivations by diabetic patient, in the registry of the utilization of the retinography and of the appointments for teleophthalmology, as well as in the number of episodes of entry and the hospital average stay of the diabetic patients. However, the prescription of metformin regarding cost by recipe and use of electronic prescribing is quite homogenous between the different sanitary areas. Conclusions: the analysis of the results of this study aims to it could have differences in the load of morbidity and efficiency of the assistential process of the diabetes mellitus in the different areas of primary care in Galicia. In the same way it could be possible to assert that it isn`t answering of equal way to the needs of the diabetic patients in all the areas.