Western Negev mobile diabetes care program: A model for interdisciplinary diabetes care in a semi-rural setting

M. Maislos, D. Weisman, M. Sherf

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

We describe a mobile diabetes clinic aimed to provide comprehensive, interdisciplinary care to patients with diabetes resident on a semi-rural area. A mobile, tertiary care diabetes clinic, composed of a diabetologist, a diabetes nurse-educator and a dietitian, was created. The clinic regularly visited the primary-care facilities of 3 towns of the Western Negev, a semi-rural area of southern Israel. A standardized, computer-based clinical protocol was applied. Analysis of data was performed on records of all patients who had had at least 2 visits to the clinic. Of 492 patients who met the inclusion criteria, 93.6% were diagnosed with type 2 diabetes, 58% were female, the mean age was 60 years and the mean time after diagnosis of diabetes was 10 years. Most patients had not visited a diabetes center before implementation of the mobile clinic. Parameters of clinical practice such as nutritional advice by a dietitian, interaction with a diabetes nurse-educator, performance of periodic ophthalmologic examination, and measurement of microalbumin excretion improved dramatically after opening of the mobile clinic. Modifiable clinical variables such as body mass index (plt;0.0001), systolic (plt;0.001) and diastolic (plt;0.05) blood pressures, fasting plasma glucose (plt;0.001), hemoglobin A1c (plt;0.01), LDL-cholesterol (plt;0.01) and HDL-cholesterol (plt;0.0001) improved significantly after implementation of the program. The implementation of a mobile diabetes care program in an area of low-density population is feasible. Significant improvement in parameters of clinical practice and of modifiable variables of diabetes control was achieved. The mobile diabetes clinic brought the interdisciplinary diabetes-care team to the patients' area of residence. Limited manpower answered the requirement of a geographically spread population.

Original languageEnglish
Pages (from-to)49-53
Number of pages5
JournalActa Diabetologica
Volume39
Issue number1
DOIs
StatePublished - 30 May 2002

Keywords

  • Diabetes mellitus
  • Hemoglobin A1c
  • Interdisciplinary diabetes care
  • Mobile diabetes clinic

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