Experience in Primary Health Care and education in type 2 diabetes mellitus

Authors

  • Silvia Saavedra Provincial Diabetes Program, Salta, Argentina

Keywords:

diabetes, primary health

Abstract

The main tool used is the education given to each member of the Primary Health Care team through face-to-face and on-line courses. Knowledge and skills are objectively evaluated in a partial and final way, promoting academic integrity and access to higher level educational environments. Among the interventions to be evaluated, the early identification of people with prediabetes and diabetes provides a better quality of care, with systematic records of clinical and metabolic parameters of patients (QUALIDIAD registry). The courses given were structured with evaluation of knowledge, skills and attitudes. Physicians and nurses were trained at the National University of La Plata, while nutritionists, obstetricians and healthcare agents were trained at the National University of the Northeast.

The Project proposes to use a before-after design on the quality of care of people with diabetes or at increased risk of developing this condition 6 and 12 months after its implementation in Primary Care Centers belonging to Salta, San Juan and Tandil City. It includes adults ≥18 years old with a diagnosis of diabetes or at high risk of developing diabetes, with exclusive public coverage and who give their consent to participate in the study. Innovative strategies were incorporated, such as sending SMS messages with educational content on diabetes, an appointment scheduling system integrated with reminder messages to optimize attendance and achieve clinical follow-up. Also, training workshops designed with activities for the subject and his/her environment, taking into account each city with its particularities. Some actions developed were FINDRISC test, live cooking, varied games kits, sowing and harvesting in the garden, physical exercise routines, among others. This work shows an urgent need to identify innovative strategies for the health team and subjects offering effective interventions for the prevention and treatment of diabetes.

Author Biography

Silvia Saavedra, Provincial Diabetes Program, Salta, Argentina

Diabetologist, Head of the Provincial Diabetes Program

References

I. Caporale JE, Elgart JF, Gagliardino JJ. Diabetes in Argentina: cost and management of diabetes and its complications and challenges for health policy. Globalization and Health 2013;9:54-54.

II. Dalewitz JN, et al. Barriers to control of blood glucose in diabetes mellitus. Am J Med Qual 2000;15(1):16-25.

III. Prestes M, Gayarre MA, Elgart JF, González L, Rucci E, Paganini JM, Gagliardino JJ; DIAPREM (DIAbetes Primary Care, Registry, Education and Management). Improving diabetes care at primary care level with a multistrategic approach: results of the DIAPREM programme. Acta Diabetol 2017 Sep;54(9):853-861.

IV. Beratarrechea A, Abrahams-Gessel S, Irazola V, Gutierrez L, Moyano D, Gaziano TA. Using mHealth tools to improve access and coverage of people with public health insurance and high cardiovascular disease risk in Argentina: a pragmatic cluster randomized trial. J Am Heart Assoc 2019 Apr 16;8(8):e011799.

Published

2024-10-01

How to Cite

Saavedra, S. (2024). Experience in Primary Health Care and education in type 2 diabetes mellitus. Journal of the Argentine Society of Diabetes, 58(3Sup), 45–46. Retrieved from https://revistasad.com/index.php/diabetes/article/view/1027

Issue

Section

4 VOICES IN 10 MINUTES part 3

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