Donabedian model for Type 2 DM management among elderly in King Fahd Medical City
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Health Science
Date
Nov 24, 2024
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Donabedian model for Type 2
DM management among elderly in King Fahd
Medical City
Stakeholders:
Hospital administrators,
healthcare providers (obstetricians,
gynecologists, midwives, and nurses),
patients and families, quality improvement
teams, and health insurance providers
Date:
Description (including background, the gap in practice, purpose and/or goal of this analysis):
Dr. Avedis Donabedian created the Donabedian model, a conceptual framework for evaluating and improving the quality of healthcare
services. It consists of three key components, often referred to as the "Donabedian Triad” (
Donabedian, 2005).
Type 2 Diabetes Mellitus (Type 2 DM) management in the elderly is a critical healthcare concern as our population ages. With increasing
longevity, the prevalence of diabetes among older adults is on the rise, demanding tailored and comprehensive approaches to address their unique
medical, social, and lifestyle needs. This introduction will delve into the multifaceted aspects of managing Type 2 DM in the elderly population,
encompassing both medical and holistic strategies to ensure their well-being and quality of life (
Longo, et al, 2019).
Structure
Process
Outcome(s)
King Fahd Medical City ensures a robust
infrastructure for managing T2DM in the
elderly. This includes well-equipped diabetes
clinics
staffed
with
specialized
endocrinologists, diabetes educators, and
dietitians.
The hospital also has a dedicated pharmacy for
diabetes medications.
The hospital follows evidence-based
guidelines for the management of T2DM in
the elderly.
Patients
undergo
comprehensive
assessments, including medical history,
physical examinations, and laboratory tests,
upon admission and during follow-up visits.
There's a strong emphasis on individualized
King Fahd Medical City places a significant
emphasis on measuring and improving
outcomes in the elderly population with
T2DM. Key performance indicators include
achieving and maintaining target HbA1c
levels, reducing the incidence of hypoglycemic
events, and preventing diabetes-related
complications such as diabetic neuropathy,
a state-of-the-art laboratory for timely and
accurate monitoring of blood glucose levels.
Additionally, the facility promotes patient
education and self-management by providing
easily accessible educational materials and
resources.
care
plans
that
consider
patients'
comorbidities, medications, and lifestyle
factors.
The healthcare team ensures regular
monitoring of glycemic control, blood
pressure, and lipid profiles, and they
promptly adjust treatment regimens as
needed.
Interdisciplinary
communication
and
collaboration are encouraged, with regular
case conferences to discuss complex cases
and ensure continuity of care.
retinopathy, and nephropathy.
The hospital also tracks hospital readmission
rates and patient satisfaction scores related to
diabetes care.
Regular audits and quality improvement
initiatives are implemented to address any
identified gaps and enhance patient outcomes
continually.
Reference
Donabedian, A. (2005). Evaluating the quality of medical care. The Milbank Quarterly,
83(4),
691.
Longo, M., Bellastella, G., Maiorino, M. I., Meier, J. J., Esposito, K., & Giugliano, D. (2019). Diabetes and aging: from treatment goals to
pharmacologic therapy.
Frontiers in Endocrinology,
10, 45.
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