Charateristics and reasons for diabetic-defaulters between primary care clinics and diabetic specialist clinic: A prospective cohort study in Kuantan, Malaysia

Charateristics and reasons for diabetic-defaulters between primary care clinics and diabetic specialist clinic: A prospective cohort study in Kuantan, Malaysia

Defaulted appointment in diabetic clinics is a great concern as it affects disease controlled and complications. Geographical location, clinic-types and quality of health services provided are known determinant reasons for defaulting. Thus, this study aimed to identify characteristics and reasons fo...

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Main Authors: Abdullah, Fa’iza, Tin, Myo Han, Md Aris, Mohd Aznan, Osman, Iskandar Firzada
Format: Conference or Workshop Item
Language:English
Published: Kulliyyah of Medicine, International Islamic University Malaysia (IIUM) 2016
Subjects:
R Medicine (General)
RK Dentistry
Online Access:http://irep.iium.edu.my/53631/
http://irep.iium.edu.my/53631/
http://irep.iium.edu.my/53631/1/IMIM%20full.pdf
id iium-53631
recordtype eprints
spelling iium-536312017-01-22T09:28:14Z http://irep.iium.edu.my/53631/ Charateristics and reasons for diabetic-defaulters between primary care clinics and diabetic specialist clinic: A prospective cohort study in Kuantan, Malaysia Abdullah, Fa’iza Tin, Myo Han Md Aris, Mohd Aznan Osman, Iskandar Firzada R Medicine (General) RK Dentistry Defaulted appointment in diabetic clinics is a great concern as it affects disease controlled and complications. Geographical location, clinic-types and quality of health services provided are known determinant reasons for defaulting. Thus, this study aimed to identify characteristics and reasons for default between diabetic-patients at public-primary-care-clinics (PPCCs) and public-hospital-diabetic-specialist-clinic (DS-OPD). Methods: A prospective one-year-cohort study was conducted among 405 diabetic patients from two PPCCs and DS-OPD in Kuantan (2015-2016). There were 2-point visits (at 6-month and 12-month) assessing follow-up appointments within one year. Defaulter is defined by at least one-time defaulted either at 6-month or 12-month. Regular-attendees were included as control. Type-1-DM-patients, missing-records, known-deceased and transfer-out cases were excluded. Background socio-demographic data of diabetic-defaulters were collected from DM-records and reasons for defaulting were traced via 3-times-telephone contacts which 51.6% diabetic-defaulters responded. A stratified cross-analysis was done to compare the prevalence and characteristics between defaulters and regular attendees. Reasons for defaults were analyzed using open-ended-questions analysis method. Results: Prevalence of defaulters was 18% (73/405); higher prevalence was found in DS-OPD than PPCCs (32.4% vs 10.3%). Gender, race, age, education, occupation and the duration of DM were not significantly different between defaulters and regular-attendees at DS-OPD. However, self-employment (25.9%), housewives (25.9%), aged less than 45-years (33.3%) and≥ 55 years-old (44.4%) were significant defaulters in PPCCs. Significant different of reasons for default found at DS-OPD compare to PPCCs for postponing the date (54.5% vs 12.5%), while refusing treatment/used alternative medicine (18.2% vs 43.8%); and moved-out/transferred/referred cases (27.3% vs 31.2%) were more in PPCCs. Conclusions: Distinctive characteristics and diverse reasons for default between DS-OPD and PPCCs among diabetic-patients fortified to set tailored remedial to reduce defaulter-rate in different clinic. Kulliyyah of Medicine, International Islamic University Malaysia (IIUM) 2016-12-10 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/53631/1/IMIM%20full.pdf Abdullah, Fa’iza and Tin, Myo Han and Md Aris, Mohd Aznan and Osman, Iskandar Firzada (2016) Charateristics and reasons for diabetic-defaulters between primary care clinics and diabetic specialist clinic: A prospective cohort study in Kuantan, Malaysia. In: Medical Research Symposium & Pacific Partnership in conjunction with Kuantan Research Day 2016, 3rd-5th August 2016, Kuantan, Pahang. http://iiumedic.net/imjm/v1/vol-15-supplement-issue/
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic R Medicine (General)
RK Dentistry
spellingShingle R Medicine (General)
RK Dentistry
Abdullah, Fa’iza
Tin, Myo Han
Md Aris, Mohd Aznan
Osman, Iskandar Firzada
Charateristics and reasons for diabetic-defaulters between primary care clinics and diabetic specialist clinic: A prospective cohort study in Kuantan, Malaysia
description Defaulted appointment in diabetic clinics is a great concern as it affects disease controlled and complications. Geographical location, clinic-types and quality of health services provided are known determinant reasons for defaulting. Thus, this study aimed to identify characteristics and reasons for default between diabetic-patients at public-primary-care-clinics (PPCCs) and public-hospital-diabetic-specialist-clinic (DS-OPD). Methods: A prospective one-year-cohort study was conducted among 405 diabetic patients from two PPCCs and DS-OPD in Kuantan (2015-2016). There were 2-point visits (at 6-month and 12-month) assessing follow-up appointments within one year. Defaulter is defined by at least one-time defaulted either at 6-month or 12-month. Regular-attendees were included as control. Type-1-DM-patients, missing-records, known-deceased and transfer-out cases were excluded. Background socio-demographic data of diabetic-defaulters were collected from DM-records and reasons for defaulting were traced via 3-times-telephone contacts which 51.6% diabetic-defaulters responded. A stratified cross-analysis was done to compare the prevalence and characteristics between defaulters and regular attendees. Reasons for defaults were analyzed using open-ended-questions analysis method. Results: Prevalence of defaulters was 18% (73/405); higher prevalence was found in DS-OPD than PPCCs (32.4% vs 10.3%). Gender, race, age, education, occupation and the duration of DM were not significantly different between defaulters and regular-attendees at DS-OPD. However, self-employment (25.9%), housewives (25.9%), aged less than 45-years (33.3%) and≥ 55 years-old (44.4%) were significant defaulters in PPCCs. Significant different of reasons for default found at DS-OPD compare to PPCCs for postponing the date (54.5% vs 12.5%), while refusing treatment/used alternative medicine (18.2% vs 43.8%); and moved-out/transferred/referred cases (27.3% vs 31.2%) were more in PPCCs. Conclusions: Distinctive characteristics and diverse reasons for default between DS-OPD and PPCCs among diabetic-patients fortified to set tailored remedial to reduce defaulter-rate in different clinic.
format Conference or Workshop Item
author Abdullah, Fa’iza
Tin, Myo Han
Md Aris, Mohd Aznan
Osman, Iskandar Firzada
author_facet Abdullah, Fa’iza
Tin, Myo Han
Md Aris, Mohd Aznan
Osman, Iskandar Firzada
author_sort Abdullah, Fa’iza
title Charateristics and reasons for diabetic-defaulters between primary care clinics and diabetic specialist clinic: A prospective cohort study in Kuantan, Malaysia
title_short Charateristics and reasons for diabetic-defaulters between primary care clinics and diabetic specialist clinic: A prospective cohort study in Kuantan, Malaysia
title_full Charateristics and reasons for diabetic-defaulters between primary care clinics and diabetic specialist clinic: A prospective cohort study in Kuantan, Malaysia
title_fullStr Charateristics and reasons for diabetic-defaulters between primary care clinics and diabetic specialist clinic: A prospective cohort study in Kuantan, Malaysia
title_full_unstemmed Charateristics and reasons for diabetic-defaulters between primary care clinics and diabetic specialist clinic: A prospective cohort study in Kuantan, Malaysia
title_sort charateristics and reasons for diabetic-defaulters between primary care clinics and diabetic specialist clinic: a prospective cohort study in kuantan, malaysia
publisher Kulliyyah of Medicine, International Islamic University Malaysia (IIUM)
publishDate 2016
url http://irep.iium.edu.my/53631/
http://irep.iium.edu.my/53631/
http://irep.iium.edu.my/53631/1/IMIM%20full.pdf
first_indexed 2023-09-18T21:15:52Z
last_indexed 2023-09-18T21:15:52Z
_version_ 1777411557726093312

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