Diabetes Care in Barbados: A Chart Audit
Author Information
Author(s): Peter O Adams, Anne O Carter
Primary Institution: University of the West Indies, Cave Hill Campus
Hypothesis
Are primary care practitioners in Barbados following diabetes guidelines?
Conclusion
The quality of diabetes care in Barbados needs significant improvement, particularly in monitoring and achieving glycemic and blood pressure targets.
Supporting Evidence
- Over 19% of the population ≥ 40 years of age in Barbados are diabetic.
- Public patients were more likely to have recorded weight, foot examination, and dietary advice.
- Only 28% of patients achieved an HbA1c of < 7%.
Takeaway
Doctors in Barbados are not doing a good job of helping people with diabetes, and many patients are not getting the care they need to stay healthy.
Methodology
A chart audit was conducted on diabetic patients from public and private clinics to assess adherence to diabetes care guidelines.
Potential Biases
Potential selection bias due to the inclusion of patients with hypertension.
Limitations
The sample included charts of patients who were hypertensive but also had diabetes, which may skew the results.
Participant Demographics
Mean age 64 years, 61% female, 78% hypertensive.
Statistical Information
P-Value
p<0.01
Confidence Interval
95% CI not provided
Statistical Significance
p<0.01
Digital Object Identifier (DOI)
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