Comparison in diabetes-related complications for inpatients among university medical centers, regional hospitals and district hospitals

Jung Nan Wei, Fung Chang Sung, Ruey Shiung Lin, Chung-Yi Li, Ming Sion Tsuang, Po Jen Wang, Chien Wen Chou, Jai Nien Tung, Lee Ming Chuang

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Abstract

Objectives: The purpose of this study was to investigate and compare the rate of chronic complications for diabetic inpatients among three levels of medical facilities. Diabetic care and patients' self-homecare behaviors were also investigated. Methods: A total of 456 inpatients with diabetes mellitus were recruited from 4 university medical centers (UMC), 3 regional hospitals (RH) and 6 district hospitals (DH) in Taiwan, during June 2000 and May 2001. Patients were interviewed for information in demographic characteristics and health care behaviors. Medical records were reviewed for diabetic care provided to patients and diabetes-related complications diagnosed for them. Results: Patients have been hospitalized for approximately 4 events in average. No significant difference was found in the rates of cardiovascular disease (49.2%-55.1%), nephropathy (43.8%-57.4%) and cerebrovascular disease (18.9-28.1%) for hospitalized patients, among the 3 levels of hospital. While the UMC inpatients had the highest prevalence rates of diabetic foot (16.2%) and neurophathy (33.5%), the RH inpatients had the highest rate of retinopathy (46. 0%). The rate of regular follow-up check was the lowest (66.4%) for inpatients of DH. They were also less likely than patients of UMC and RH to have self-monitoring of plasma sugar or urine sugar. Conclusions: A good proportion of diabetes inpatients have multiple diabetes-related complications with frequent hospitalizations. Patients cared at DH need greater attention in diabetic care than that at UMC and RH. Standard diabetes care protocol for complication prevention should be implemented.

Original languageEnglish
Pages (from-to)115-122
Number of pages8
JournalTaiwan Journal of Public Health
Volume21
Issue number2
Publication statusPublished - 2002 Apr 1

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District Hospitals
Diabetes Complications
Inpatients
Cerebrovascular Disorders
Diabetic Foot
Self Care
Taiwan
Medical Records
Patient Care
Diabetes Mellitus
Hospitalization
Cardiovascular Diseases
Demography
Urine
Delivery of Health Care

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Cite this

Wei, Jung Nan ; Sung, Fung Chang ; Lin, Ruey Shiung ; Li, Chung-Yi ; Tsuang, Ming Sion ; Wang, Po Jen ; Chou, Chien Wen ; Tung, Jai Nien ; Chuang, Lee Ming. / Comparison in diabetes-related complications for inpatients among university medical centers, regional hospitals and district hospitals. In: Taiwan Journal of Public Health. 2002 ; Vol. 21, No. 2. pp. 115-122.
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title = "Comparison in diabetes-related complications for inpatients among university medical centers, regional hospitals and district hospitals",
abstract = "Objectives: The purpose of this study was to investigate and compare the rate of chronic complications for diabetic inpatients among three levels of medical facilities. Diabetic care and patients' self-homecare behaviors were also investigated. Methods: A total of 456 inpatients with diabetes mellitus were recruited from 4 university medical centers (UMC), 3 regional hospitals (RH) and 6 district hospitals (DH) in Taiwan, during June 2000 and May 2001. Patients were interviewed for information in demographic characteristics and health care behaviors. Medical records were reviewed for diabetic care provided to patients and diabetes-related complications diagnosed for them. Results: Patients have been hospitalized for approximately 4 events in average. No significant difference was found in the rates of cardiovascular disease (49.2{\%}-55.1{\%}), nephropathy (43.8{\%}-57.4{\%}) and cerebrovascular disease (18.9-28.1{\%}) for hospitalized patients, among the 3 levels of hospital. While the UMC inpatients had the highest prevalence rates of diabetic foot (16.2{\%}) and neurophathy (33.5{\%}), the RH inpatients had the highest rate of retinopathy (46. 0{\%}). The rate of regular follow-up check was the lowest (66.4{\%}) for inpatients of DH. They were also less likely than patients of UMC and RH to have self-monitoring of plasma sugar or urine sugar. Conclusions: A good proportion of diabetes inpatients have multiple diabetes-related complications with frequent hospitalizations. Patients cared at DH need greater attention in diabetic care than that at UMC and RH. Standard diabetes care protocol for complication prevention should be implemented.",
author = "Wei, {Jung Nan} and Sung, {Fung Chang} and Lin, {Ruey Shiung} and Chung-Yi Li and Tsuang, {Ming Sion} and Wang, {Po Jen} and Chou, {Chien Wen} and Tung, {Jai Nien} and Chuang, {Lee Ming}",
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Wei, JN, Sung, FC, Lin, RS, Li, C-Y, Tsuang, MS, Wang, PJ, Chou, CW, Tung, JN & Chuang, LM 2002, 'Comparison in diabetes-related complications for inpatients among university medical centers, regional hospitals and district hospitals', Taiwan Journal of Public Health, vol. 21, no. 2, pp. 115-122.

Comparison in diabetes-related complications for inpatients among university medical centers, regional hospitals and district hospitals. / Wei, Jung Nan; Sung, Fung Chang; Lin, Ruey Shiung; Li, Chung-Yi; Tsuang, Ming Sion; Wang, Po Jen; Chou, Chien Wen; Tung, Jai Nien; Chuang, Lee Ming.

In: Taiwan Journal of Public Health, Vol. 21, No. 2, 01.04.2002, p. 115-122.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Comparison in diabetes-related complications for inpatients among university medical centers, regional hospitals and district hospitals

AU - Wei, Jung Nan

AU - Sung, Fung Chang

AU - Lin, Ruey Shiung

AU - Li, Chung-Yi

AU - Tsuang, Ming Sion

AU - Wang, Po Jen

AU - Chou, Chien Wen

AU - Tung, Jai Nien

AU - Chuang, Lee Ming

PY - 2002/4/1

Y1 - 2002/4/1

N2 - Objectives: The purpose of this study was to investigate and compare the rate of chronic complications for diabetic inpatients among three levels of medical facilities. Diabetic care and patients' self-homecare behaviors were also investigated. Methods: A total of 456 inpatients with diabetes mellitus were recruited from 4 university medical centers (UMC), 3 regional hospitals (RH) and 6 district hospitals (DH) in Taiwan, during June 2000 and May 2001. Patients were interviewed for information in demographic characteristics and health care behaviors. Medical records were reviewed for diabetic care provided to patients and diabetes-related complications diagnosed for them. Results: Patients have been hospitalized for approximately 4 events in average. No significant difference was found in the rates of cardiovascular disease (49.2%-55.1%), nephropathy (43.8%-57.4%) and cerebrovascular disease (18.9-28.1%) for hospitalized patients, among the 3 levels of hospital. While the UMC inpatients had the highest prevalence rates of diabetic foot (16.2%) and neurophathy (33.5%), the RH inpatients had the highest rate of retinopathy (46. 0%). The rate of regular follow-up check was the lowest (66.4%) for inpatients of DH. They were also less likely than patients of UMC and RH to have self-monitoring of plasma sugar or urine sugar. Conclusions: A good proportion of diabetes inpatients have multiple diabetes-related complications with frequent hospitalizations. Patients cared at DH need greater attention in diabetic care than that at UMC and RH. Standard diabetes care protocol for complication prevention should be implemented.

AB - Objectives: The purpose of this study was to investigate and compare the rate of chronic complications for diabetic inpatients among three levels of medical facilities. Diabetic care and patients' self-homecare behaviors were also investigated. Methods: A total of 456 inpatients with diabetes mellitus were recruited from 4 university medical centers (UMC), 3 regional hospitals (RH) and 6 district hospitals (DH) in Taiwan, during June 2000 and May 2001. Patients were interviewed for information in demographic characteristics and health care behaviors. Medical records were reviewed for diabetic care provided to patients and diabetes-related complications diagnosed for them. Results: Patients have been hospitalized for approximately 4 events in average. No significant difference was found in the rates of cardiovascular disease (49.2%-55.1%), nephropathy (43.8%-57.4%) and cerebrovascular disease (18.9-28.1%) for hospitalized patients, among the 3 levels of hospital. While the UMC inpatients had the highest prevalence rates of diabetic foot (16.2%) and neurophathy (33.5%), the RH inpatients had the highest rate of retinopathy (46. 0%). The rate of regular follow-up check was the lowest (66.4%) for inpatients of DH. They were also less likely than patients of UMC and RH to have self-monitoring of plasma sugar or urine sugar. Conclusions: A good proportion of diabetes inpatients have multiple diabetes-related complications with frequent hospitalizations. Patients cared at DH need greater attention in diabetic care than that at UMC and RH. Standard diabetes care protocol for complication prevention should be implemented.

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