Assessment of quality of care for the management of type 2 diabetes: a multicentre study from a developing country.

Document Type



Community Health Sciences


Background: Complications of diabetes can be prevented or delayed by providing high quality care. This study aimed to document the quality of care provided to people with type 2 diabetes in Pakistan and to identify the difference in care offered at various clinics. Design: Cross-sectional multi-centre study. Methods: Interviews were undertaken with 672 people with type 2 diabetes attending three different types of diabetes clinic (private clinic (A), non-governmental organisation (B) and public clinic (C)) in Karachi, Pakistan. A structured questionnaire was used to collect socio-demographic and clinical information from Patients, quality of care indicators were also confirmed by reference to Patients' medical records. Results: Overall, 68% (A: 92%, B: 58% and C: 52%, PConclusion: Many Patients with type 2 diabetes do not receive optimal diabetes care in Karachi. Among the different settings, care provided in private health sector clinics was of a better standard. However, our results reveal a need for overall improvement in the quality of diabetes care. Further research is also needed to evaluate the reasons for poor diabetes care, and to identify the most cost-effective means to address these.

Publication (Name of Journal)

Quality in Primary Care