Accessibility of Care Services among Patients with Type 2 Diabetes in Padad Hospital, Chiang Rai Province

Abstract

The objective of this study was to examine the accessibility of care services among patients with type 2 diabetes in Padad Hospital, Chiang Rai province. This was a retrospective study from medical records of 300 patients with type 2 diabetes. Participants were 300 type 2 diabetic patients who came to the diabetic clinic between October 1, 2014 and September 30, 2015. The research instruments were a data record form. This data form included two parts: 1) a general data record form; and 2) a record form regarding the accessibility to care services and outcomes from accessing care services of type 2 diabetes patients. Data were analyzed using descriptive statistics.

Most participants were female (67.7%), aged between 30-87 years ( = 61.2 ± 9.6). 42.3% of all participants had type 2 diabetes. 57.7% of them had both type II diabetes and hypertension. 57.7% of them had a body mass index greater than >22.9 kg/m2. 53% of them are farmers. 88.3% of them had the Universal Health Coverage Project (The “30 bath treat all” scheme). 31.7% of them have been diagnosed with diabetes for 6-10 years. All participants (100%) were able to access care services. 92.7% of all participants were tested for HbA1c. Among this group of participants, 37.8% had HbA1c levels < 7% (normal levels of HbA1c ≥ 40%). 95.3% had their lipid profile measure. Within this group of participants, 47% reported the result of LDL levels <100 mg/dl (normal levels of LDL ≥ 60%). This study demonstrates the needs to further studies for investigating the self-care modification behavior among type 2 diabetes patients and to develop the clinical practice guidelines in order to improve the effectiveness of care services in patients with type 2 diabetes.