Abstract

BELLIDO-ZAPATA, Adriana; RUIZ-MUGGI, Juan Elias; NEIRA-SANCHEZ, Elsa Rosa  and  MALAGA, Germán. Implementation and application of the 'Clinical practice guideline for diagnosis, treatment and control of type 2 diabetes mellitus at primary care level', in a network of public healthcare facilities in Lima. Acta méd. Peru [online]. 2018, vol.35, n.1, pp.14-19. ISSN 1728-5917.

Background: Diabetes is a non-communicable disease with increasing prevalence that causes high burden of disease due to its late diagnosis, disabling complications, and high mortality. Aiming to standardize care, the Peruvian Ministry of Health published the 'Clinical practice guideline for diagnosis, treatment and control of type 2 diabetes mellitus at primary care level' (CPG). Materials and methods: A survey was prepared, aiming to assess the equipment as well as knowledge and use of CPG by physicians in 32 healthcare facilities in three districts from the Northern Lima Health Region. Results: The use of CPG, as well as knowledge from physicians and the equipment in 32 healthcare facilities in Rimac, San Martin de Porres, and Los Olivos districts were assessed. Twenty-seven physicians (84%) knew the CPG, 10 (28%) had received training, 21 (71%) declared they use the CPG, and 17 (53%) were familiarized with the concepts delivered by the CPG. Only 4/30 of the facilities had metformin available. None of them had the capability for measuring glycated hemoglobin or albuminuria, and only 9 have permanent availability of blood glucose meters. Conclusions: The GPC has not been implemented and it has been only partially disseminated, which limits its application, this significantly affects the quality of care of patients with type 2 diabetes mellitus; therefore, all effort and costs spent in its elaboration constitute resource waste

Keywords : Diabetes mellitus; Practice guideline; Primary health care.

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