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dc.contributor.authorZam, K*
dc.contributor.authorKumar, A M*
dc.contributor.authorAchanta, S*
dc.contributor.authorBhat, P*
dc.contributor.authorNaik, B*
dc.contributor.authorZangpo, K*
dc.contributor.authorDorji, T*
dc.contributor.authorWangdi, Y*
dc.contributor.authorZachariah, R*
dc.date.accessioned2015-09-21T15:43:10Z
dc.date.available2015-09-21T15:43:10Z
dc.date.issued2015-09-21
dc.identifier.citationA first country-wide review of Diabetes Mellitus care in Bhutan: time to do better., 15 (1):389 BMC Health Serv Resen_GB
dc.identifier.issn1472-6963
dc.identifier.pmid26384311
dc.identifier.doi10.1186/s12913-015-1026-6
dc.identifier.urihttp://hdl.handle.net/10144/578565
dc.description.abstractThere is an increasing trend of non-communicable diseases in Bhutan including Diabetes Mellitus (DM). To address this problem, a National Diabetes Control Programme was launched in 1996. There is anecdotal evidence that many patients do not visit the DM clinics regularly, but owing to lack of cohort monitoring, the magnitude of such attrition from care is unknown. Knowledge of the extent of this problem will provide a realistic assessment of the situation on the ground and would be helpful to initiate corrective actions. In this first country-wide audit, we thus aimed to determine among type 2 DM patients registered for care the i) pre-treatment attrition ii) one-year programme outcomes including retention in care, died and Lost-to-follow-up (LTFU, defined as not having visited the clinic at least once within a year of registration) iii) factors associated with attrition from care (death + LTFU) and iv) quality of follow-up care, measured by adherence to recommended patient-monitoring protocols including glycaemic control.
dc.languageENG
dc.language.isoenen
dc.publisherBMC Public Healthen_GB
dc.rightsArchived with thanks to BMC Health Services Researchen_GB
dc.titleA First Country-Wide Review of Diabetes Mellitus Care in Bhutan: Time to Do Betteren
dc.identifier.journalBMC Health Services Researchen_GB
refterms.dateFOA2019-03-04T12:34:01Z
html.description.abstractThere is an increasing trend of non-communicable diseases in Bhutan including Diabetes Mellitus (DM). To address this problem, a National Diabetes Control Programme was launched in 1996. There is anecdotal evidence that many patients do not visit the DM clinics regularly, but owing to lack of cohort monitoring, the magnitude of such attrition from care is unknown. Knowledge of the extent of this problem will provide a realistic assessment of the situation on the ground and would be helpful to initiate corrective actions. In this first country-wide audit, we thus aimed to determine among type 2 DM patients registered for care the i) pre-treatment attrition ii) one-year programme outcomes including retention in care, died and Lost-to-follow-up (LTFU, defined as not having visited the clinic at least once within a year of registration) iii) factors associated with attrition from care (death + LTFU) and iv) quality of follow-up care, measured by adherence to recommended patient-monitoring protocols including glycaemic control.


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