Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

MEDICAL RECORDS SYSTEMS, PATIENT SATISFACTION ON TREATMENT AND HBA1C OUTCOMES

Author

Supathiratheavy Rasiah 1 , Jai Mohan A 1 , Karuthan Chinna 2

Institution

1. International Medical University, Kuala Lumpur
2. Julius Centre University Malaya , Kuala Lumpur

Abstract

Objectives: The objective was to compare the patient satisfaction scores, regularity of monitoring tests and HBA1C outcomes amongst Malay Type 2 Diabetes Mellitus patients attending follow up at 2 urban primary healthcare clinics (an EMR and a non-EMR clinic).

Methods: 540 Malay Type 2 Diabetic patients attending follow up review and treatment at two selected Primary Care Health clinics were surveyed using a self-administered licensed questionnaire (University of London). The range for the satisfaction score is from 0 to 36. The regularity of monitoring tests and the HBA1C control at the centers were compared.

Results: Patient satisfaction at both clinics were high and similar (median=31, IQR=6). At the EMR clinic, 378 out of the 436 patients (73%) had completed their monitoring tests for HBA1C and of this 24% achieved good control of HBA1C, whilst 24% of those who were not monitored regularly also achieved good HBA1C control. There was no significant association between monitoring test and HBA1C control (P= 0.534). At the non-EMR clinic, only 114 out of the 496 patients (23%) had completed their monitoring tests for HBA1C and of this 24% achieved good control of HBA1C. There was a significant association between monitoring test and HBA1C control (P<0.001).

Conclusion: There is a high level patient satisfaction at both clinics. Although test monitoring is higher at the EMR clinic, it does not translate to better HBA1C control.