The opinion of therapists and specialized doctors on the provision of medical assistance of patients with type 2 diabetes in polyclinics in Almaty

Abstract

Objective: The objective of this research was to study the opinion of therapists and highly specialized doctors (cardiologist, neuropathologist, and oculist) in Almaty polyclinics on the provision of endocrinological care for patients with type 2 diabetes. Methods: The sociological study was conducted on the basis of a specially developed questionnaire. The questionnaire consisted of 23 questions. The database was created in the Microsoft Access 2010 program. Statistical processing of data was carried out using the SPSS 22.0 software package. The average relative values have been calculated with the value of their standard error. Results: Most patients with type 2 diabetes mellitus are observed in primary health care by therapists and endocrinologists. According to 86.7% of therapists, the number of patients with diabetes exceeds the number of registered patients and the determination of blood glucose level in the daily practice of therapists will reveal a large part of them. Most of the interviewed doctors believe that they have difficulties in servicing patients due to the presence of concomitant disease in patients, low adherence of patients, and a narrow choice of drugs for treatment. According to the opinion of doctors of different specialties (endocrinologists, cardiologists, neurologists, and oculists), when examining patients with type 2 diabetes, complications from the cardiovascular system, nervous system, and organ of vision are identified. Conclusion: The organization of outpatient care for patients with type 2 diabetes mellitus should be interrelated by therapists and cardiologists, neurologists, and ophthalmologists. It should be based on continuity and interdisciplinary approach and is aimed to ensure patient satisfaction with the quality of care and adherence to treatment and to improve the quality of life.