{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T10:56:39Z","timestamp":1775472999479,"version":"3.50.1"},"reference-count":21,"publisher":"Medical Association of Zenica-Doboj","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicinski Glasnik"],"published-print":{"date-parts":[[2018,1,25]]},"abstract":"<jats:p>&amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Aim&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;To assess whether the quality of diabetes care provided by a family medicine team changed over the course of four years and to identify potential gaps in our practice in order to improve it in the future. &amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Methods&amp;lt;br \/&amp;gt;&amp;lt;\/strong&amp;gt; An audit was carried out for randomly selected 120 medical records (MC) from the Diabetes Registry of patients with type 1 or 2 diabetes mellitus treated by one family medicine team for four consecutive years, from 2013 to 2016. We examined demographic data (gender, age, diabetes type, family history), annual examinations (glycated haemoglobin, blood glucose, lipid profile, neurological examination, urinalysis, foot care, ocular fundus and body mass index), prescribed insulin or other drugs and patients&amp;#039; education. &amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Results&amp;lt;br \/&amp;gt;&amp;lt;\/strong&amp;gt; Over the years females dominated with the maximum of 63% in 2013. In most years type 2 diabetes occurred in 93% of patients. The acceptable level of monitoring included examination of ocular fundus, lipid profile or total cholesterol, blood pressure, fasting and postprandial blood glucose with more than 80% annually. A low level of monitoring complications of diabetes was found on monofilament test, 26% in 2016, urinalysis, 20% in 2016 and examination of feet with the maximum of 46% in 2013. Outcome measurement showed satisfactory levels of glycated haemoglobin of 60% in 2014, blood pressure 76% in 2014, fast 56% and postprandial blood glucose of 73% in 2013. &amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Conclusion&amp;lt;br \/&amp;gt;&amp;lt;\/strong&amp;gt; We still need to find effective interventions that will lead to improvement of care for patients with diabetes in family medicine.&amp;lt;\/p&amp;gt;<\/jats:p>","DOI":"10.17392\/934-18","type":"journal-article","created":{"date-parts":[[2024,4,21]],"date-time":"2024-04-21T10:20:46Z","timestamp":1713694846000},"source":"Crossref","is-referenced-by-count":1,"title":["Quality of care for patients with diabetes done by family medicine team during the period 2013-2016"],"prefix":"10.17392","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6035-6496","authenticated-orcid":false,"given":"Larisa","family":"Gavran","sequence":"first","affiliation":[{"name":"Family Medicine Teaching Centre, Primary Health Care Zenica","place":["Zenica,Bosnia and Herzegovina"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salih","family":"Tandir","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Zenica","place":["Zenica,Bosnia and Herzegovina"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suad","family":"Sivi\u0107","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Zenica","place":["Zenica,Bosnia and Herzegovina"]},{"name":"Institute for Health and Food Safety Zenica","place":["Zenica,Bosnia and Herzegovina"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatima","family":"Top\u010di\u0107","sequence":"additional","affiliation":[{"name":"Family Medicine Teaching Centre, Primary Health Care Zenica","place":["Zenica,Bosnia and Herzegovina"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"49509","published-online":{"date-parts":[[2018,1,25]]},"reference":[{"key":"ref1","article-title":"World Health Organization: Definition, diagnosis and classification of diabetes mellitus and its complications. Part diagnosis and classification of diabetes mellitus. Geneva, Department of noncommunicable disease surveillance","year":"1999. 20 November 2017","unstructured":"World Health Organization: Definition, diagnosis \nand classification of diabetes mellitus and its com-\nplications. Part diagnosis and classification of diabe-\ntes mellitus. Geneva, Department of noncommuni-\ncable disease surveillance, 1999. www.who.int\/iris\/ \nhandle\/10665\/66040 (20 November 2017)"},{"key":"ref2","article-title":"International Diabetes Federation. IDF diabetes atlas-7","year":"20 November 2017","unstructured":"International Diabetes Federation. IDF diabetes \natlas-7th edition. www.diabetesatlas.org (20 No-\nvember 2017)"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1097\/00019514-200601000-00008","article-title":"The need for quality management in primary health care in Cyprus: results from a medical audit for patients with type 2 diabetes mellitus","author":"TZachariadouT","year":"2006","unstructured":"Zachariadou T, Makri L, Stoffers HE, Philalithis A, \nLionis C. The need for quality management in pri-\nmary health care in Cyprus: results from a medical \naudit for patients with type 2 diabetes mellitus. Qual \nManag Health Care 2006;15:58-65.","journal-title":"Qual Manag Health Care"},{"key":"ref4","first-page":"77","article-title":"Monitoring ghange in diabetes care using diabetes registes. Experience from division of general practice","author":"AGeorgiouA","year":"2006","unstructured":"Georgiou A, Burns J, McKenzie S, Penn D, Flack J, \nHarris MF Monitoring ghange in diabetes care using \ndiabetes registes. Experience from division of gene-\nral practice. Aust Fam Physician 2006; 35:77-80.","journal-title":"Aust Fam Physician"},{"key":"ref5","first-page":"1821","article-title":"Interventions to improve the management of diabetes in primary care, outpatient and community settings: a systematic review","author":"CRendersC","year":"2001","unstructured":"Renders C, Valk G, Griffin S, Wagner E, Eijk Van \nJ, Assendelft W. Interventions to improve the ma-\nnagement of diabetes in primary care, outpatient and \ncommunity settings: a systematic review. Diabetes \nCare 2001; 24:1821-33.","journal-title":"Diabetes Care"},{"key":"ref6","first-page":"757","article-title":"Medical audit of diabetes mellitus in primary care setting in Bosnia and Herzegovina","author":"ANovoA","year":"2008","unstructured":"Novo A, Joki\u0107 I. Medical audit of diabetes mellitus \nin primary care setting in Bosnia and Herzegovina. \nCroat Med J 2008; 49:757-62.","journal-title":"Croat Med J"},{"key":"ref7","first-page":"2389","article-title":"Care of patients with type 2 diabetes mellitus in primary care","author":"GRuttenG","year":"2008","unstructured":"Rutten GE. Care of patients with type 2 diabetes \nmellitus in primary care. Ned Tijdschr Geneeskd \n2008; 152:2389-94.","journal-title":"Ned Tijdschr Geneeskd"},{"key":"ref8","first-page":"126","article-title":"A clinical audit on diabetes care in patients with type 2 diabetes in Al-Ain, United Arab Emirates","author":"AShehabA","year":"2012","unstructured":"Shehab A, Elnour A, Abdulle A. A clinical audit on \ndiabetes care in patients with type 2 diabetes in Al-\nAin, United Arab Emirates. Open Cardiovasc Med J \n2012; 6:126-32.","journal-title":"Open Cardiovasc Med J"},{"key":"ref9","first-page":"317","article-title":"Audit of diabetes mellitus in general practice","author":"TLeeT","year":"2004","unstructured":"Lee TW, Chan SC, Chua WT, Harbinder K, Khoo \nYL, Ow Yeang YL, Sethuraman K, Teoh LC. Audit \nof diabetes mellitus in general practice. Med J Ma-\nlaysia 2004; 59:317-22.","journal-title":"Med J Malaysia"},{"key":"ref10","first-page":"112","article-title":"Quality of diabetes care in family medicine practices in eastern Bosnia and Herzegovina","author":"MRacicM","year":"2015","unstructured":"Racic M, Kusmuk S, Ma\u0161i\u0107 S, Risti\u0107 S, Ivkovi\u0107 \nN, Djukanovic D Lj, Bo\u017eovi\u0107 Dj. Quality of diabetes \ncare in family medicine practices in eastern Bosnia \nand Herzegovina. Prim Care Diabetes 2015; 9:112-9.","journal-title":"Prim Care Diabetes"},{"key":"ref11","first-page":"16","article-title":"incentives for family medicine teams may contribute to improved services and better clinical outcomes","author":"GAgarwalG","year":"2012","unstructured":"Agarwal G, Kaczorowski J, Hanna S. Care for pa-\ntients with type 2 diabetes in a random sample of \ncommunity family practices in ontario, Canada. \nInt J Family Med 2012; 2012:734202. \nincentives for family medicine teams may con-\ntribute to improved services and better clinical \noutcomes (16-19).","journal-title":"Canada. Int J Family Med"},{"key":"ref12","article-title":"Compared with other studies, these results highlight that we need better understanding of possible reasons of such fluctuations in diabetes care over the years, as well as the reasons for the lack of causal relationship between the process of diabetes care and outcome of the measures (20)","unstructured":"Compared with other studies, these results highli-\nght that we need better understanding of possible \nreasons of such fluctuations in diabetes care over \nthe years, as well as the reasons for the lack of \ncausal relationship between the process of diabe-\ntes care and outcome of the measures (20). \nFUNDING \nNo specific funding was received for this study. \nTRANSPARENCY DECLARATIONS \nCompeting interests: none to declare."},{"key":"ref13","first-page":"15","article-title":"Improvement in monitoring of type 2 diabetes mellitus (DM) done by family medicine teams after implementation of DM flowcharts","author":"LGavranL","year":"2009","unstructured":"Gavran L, Brkic S, Nuhbegovic S, Sivic S, Batic-\nMujanovic O, Beganlic A. Improvement in monito-\nring of type 2 diabetes mellitus (DM) done by family \nmedicine teams after implementation of DM flowc-\nharts. Acta Inform Med 2009; 17:15-19.","journal-title":"Acta Inform Med"},{"key":"ref14","first-page":"57","article-title":"Standardi za timove porodi\u010dne\/obiteljske medicine. Sarajevo: Agencija za kvalitet i akreditaciju u zdravstvu u Federaciji Bosne i Hercegovine","author":"ZRi\u0111anovi\u0107Z","year":"2014","unstructured":"Ri\u0111anovi\u0107 Z, Kerleta-Tuzovi\u0107 V, Novo A. Diabetes \nMellitus. In: Standardi za timove porodi\u010dne\/obitelj-\nske medicine. Sarajevo: Agencija za kvalitet i akre-\nditaciju u zdravstvu u Federaciji Bosne i Hercegovi-\nne, 2014:57-61."},{"key":"ref15","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1370\/afm.420","article-title":"Management of type 2 diabetes in the primary care setting: a practice-based research network study","author":"SSpannS","year":"2006","unstructured":"Spann SJ, Nutting PA, Galliher JM, Peterson \nKA, Pavlik VN, Dickinson LM, Volk RJ. Manage-\nment of type 2 diabetes in the primary care setting: \na practice-based research network study. Ann Fam \nMed 2006; 4:23-31.","journal-title":"Ann Fam Med"},{"key":"ref16","article-title":"Improving risk factor management for patients with poorly controlled type 2 diabetes: a systematic review of healthcare interventions in primary care and community settings","author":"MMurphyM","year":"2017","unstructured":"Murphy ME, Byrne M, Galvin R, Boland F, Fahey \nT, Smith SM. Improving risk factor management \nfor patients with poorly controlled type 2 diabetes: a \nsystematic review of healthcare interventions in pri-\nmary care and community settings. BMJ Open 2017; \n4:7:e015135.","journal-title":"BMJ Open"},{"key":"ref17","first-page":"418","article-title":"Clinical inertia in patients with T2DM requiring insulin in family practice","author":"BHarrisB","year":"2010","unstructured":"Harris BS. Clinical inertia in patients with T2DM \nrequiring insulin in family practice. Can Fam Physi-\ncian 2010; 56:418-24.","journal-title":"Can Fam Physician"},{"key":"ref18","first-page":"403","article-title":"Family Physician clinical inertia in glycemic control among patients with type 2 diabetes","author":"Brali\u0107LangBrali\u0107","year":"2015","unstructured":"Brali\u0107 Lang V, Bergman Markovi\u0107 B, Kranj\u010devi\u0107 K. \nFamily Physician clinical inertia in glycemic control \namong patients with type 2 diabetes. Med Sci Monit \n2015; 21: 403-11.","journal-title":"Med Sci Monit"},{"key":"ref19","first-page":"709","article-title":"Quality of care for patients with type 2 diabetes mellitus in the Netherlands and the United States: a comparison of two quality improvement programs","author":"GValkG","year":"2004","unstructured":"Valk GD, Renders CM, Kriegsman DM, Newton \nKM, Twisk JW, Eijk JT, Wal G, Wagner EH. Quality \nof care for patients with type 2 diabetes mellitus in \nthe Netherlands and the United States: a comparison \nof two quality improvement programs. Health Serv \nRes 2004; 39:709-25.","journal-title":"Health Serv Res"},{"key":"ref20","first-page":"505","article-title":"Achievement of metabolic targets for diabetes by English primary care practices under a new system of incentives","author":"MGullifordM","year":"2007","unstructured":"Gulliford MC, Ashworth M, Robotham D, Mohiddin \nA. Achievement of metabolic targets for diabetes by \nEnglish primary care practices under a new system \nof incentives. Diabet Med 2007; 24:505-11.","journal-title":"Diabet Med"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1370\/afm.758","article-title":"Quality of diabetes care in family medicine practices: influence of nurse-practitioners and physician's sssistants","author":"POhman-StricklandP","year":"2008","unstructured":"Ohman-Strickland PA, Orzano AJ, Hudson VS, Sol-\nberg IL, Ciccio-Bloom Di B, O'Malley D, Tallia FA, \nBalasubramanian AB, Crabtree FB. Quality of dia-\nbetes care in family medicine practices: influence of \nnurse-practitioners and physician's sssistants. Ann \nFam Med 2008; 6:14-22.","journal-title":"Ann Fam Med"}],"container-title":["Medicinski Glasnik"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/medicinskiglasnik.ba\/article\/278\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/medicinskiglasnik.ba\/article\/278\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T09:43:37Z","timestamp":1775468617000},"score":1,"resource":{"primary":{"URL":"https:\/\/medicinskiglasnik.ba\/article\/id\/81\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,25]]},"references-count":21,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2018,1,25]]},"published-print":{"date-parts":[[2018,1,25]]}},"URL":"https:\/\/doi.org\/10.17392\/934-18","archive":["Internet Archive"],"relation":{},"ISSN":["1840-0132","1840-0132"],"issn-type":[{"value":"1840-0132","type":"electronic"},{"value":"1840-0132","type":"print"}],"subject":[],"published":{"date-parts":[[2018,1,25]]}}}