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How to improve the quality of care of obese patients with type 2 diabetes mellitus receiving care at a semirural district hospital in Lesotho
Thesis (MFamMed)--Stellenbosch University, 2019.
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| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2019
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| _version_ | 1867614035863666688 |
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| access_status_str | Open Access |
| author | Nkulu, Patrick Mulongo |
| author2 | Von Pressentin, Klaus B. |
| author_browse | Nkulu, Patrick Mulongo Von Pressentin, Klaus B. |
| author_facet | Von Pressentin, Klaus B. Nkulu, Patrick Mulongo |
| author_sort | Nkulu, Patrick Mulongo |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MFamMed)--Stellenbosch University, 2019. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/107075 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:45:38.927Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2019 |
| publishDateRange | 2019 |
| publishDateSort | 2019 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/107075 How to improve the quality of care of obese patients with type 2 diabetes mellitus receiving care at a semirural district hospital in Lesotho Nkulu, Patrick Mulongo Von Pressentin, Klaus B. Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. Family Medicine and Primary Care. Non-insulin-dependent diabetes -- Medical care -- Lesotho Non-insulin-dependent diabetes -- Patients -- Lesotho Rural hospitals -- Lesotho Obesity -- Risk factors -- Lesotho UCTD Thesis (MFamMed)--Stellenbosch University, 2019. ENGLISH SUMMARY : Background: Managing diabetes associated with obesity remains challenging in developing countries including Lesotho. General measures need to be improved and encouraged for prevention countrywide. Aim: The aim of the project was to improve the quality of care of obese diabetic patients attending the St Joseph’s Hospital in Maseru district, Lesotho. Methods: A quality improvement cycle process was followed. Results: A total number of 122 patients were included in the quality improvement cycle. We proceeded with a baseline audit and set standards that we then re audited after three months of agreed intervention on the same sample of patient. We included three groups of criteria in each audit: structural, process and outcome. The baseline audit indicated that the results in general were not satisfactory with only one achieved structural target standard. From the re-audit, all seven target standards from structural, two out of four from the process and none of the three from outcome criteria were achieved, although there was a significant drop in the mean BMI (p<0.001) at patient level; during the re-audit, the 95% confidence interval showed that patients had a drop in their BMI measurement of between -4.8 and +1.8 units. Conclusion: At baseline, the quality of care was poor. After implementing an intervention, there were considerable and average improvements from the structure and process criteria of care, respectively. Although, the improvements in the outcome criteria were not very satisfactory due to the limited time available for the intervention, there was a reduction in the recorded BMI calculations. The quality improvement of the health system is a process which needs maintenance of the reached targets and improvement of the unreached targets; the lessons learnt may be applicable to similar institutions. AFRIKAANSE OPSOMMING : Geen opsomming beskikbaar. Masters 2019-10-28T10:24:01Z 2019-12-11T06:46:05Z 2019-10-28T10:24:01Z 2019-12-11T06:46:05Z 2019-12 Thesis http://hdl.handle.net/10019.1/107075 en_ZA Stellenbosch University 34 pages ; illustrations, includes annexures application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Non-insulin-dependent diabetes -- Medical care -- Lesotho Non-insulin-dependent diabetes -- Patients -- Lesotho Rural hospitals -- Lesotho Obesity -- Risk factors -- Lesotho UCTD Nkulu, Patrick Mulongo How to improve the quality of care of obese patients with type 2 diabetes mellitus receiving care at a semirural district hospital in Lesotho |
| title | How to improve the quality of care of obese patients with type 2 diabetes mellitus receiving care at a semirural district hospital in Lesotho |
| title_full | How to improve the quality of care of obese patients with type 2 diabetes mellitus receiving care at a semirural district hospital in Lesotho |
| title_fullStr | How to improve the quality of care of obese patients with type 2 diabetes mellitus receiving care at a semirural district hospital in Lesotho |
| title_full_unstemmed | How to improve the quality of care of obese patients with type 2 diabetes mellitus receiving care at a semirural district hospital in Lesotho |
| title_short | How to improve the quality of care of obese patients with type 2 diabetes mellitus receiving care at a semirural district hospital in Lesotho |
| title_sort | how to improve the quality of care of obese patients with type 2 diabetes mellitus receiving care at a semirural district hospital in lesotho |
| topic | Non-insulin-dependent diabetes -- Medical care -- Lesotho Non-insulin-dependent diabetes -- Patients -- Lesotho Rural hospitals -- Lesotho Obesity -- Risk factors -- Lesotho UCTD |
| url | http://hdl.handle.net/10019.1/107075 |
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