Kết quả hoạt động quản lý điều trị ngoại trú người bệnh đái tháo đường típ 2 tại Bệnh viện Đa khoa khu vực huyện Tiểu Cần, tỉnh Trà Vinh, năm 2023–2024

Type 2 diabetes (T2D) is a growing global health concern, with an increasing prevalence that poses significant challenges to healthcare systems, particularly at the local level. Effective management of T2D is crucial for preventing complications, improving quality of life, and reducing the burden on public health resources. In Vietnam, districts like Tieu Can in Tra Vinh Province face specific challenges in providing comprehensive care due to demographic factors and resource constraints. Understanding the current status of diabetes care is vital for optimizing services. This study aims to describe the results of outpatient management activities for patients with type 2 diabetes at Tieu Can District Regional General Hospital, Tra Vinh Province, during 2023-2024. By examining the existing practices and outcomes, this research seeks to identify strengths and areas for improvement in outpatient management for type 2 diabetes at the primary care level.

Healthcare professionals, hospital administrators, public health officials, and researchers involved in diabetes management and primary care services in Vietnam, particularly in resource-limited settings.

This study systematically evaluated the outpatient management of 181 newly diagnosed type 2 diabetes patients at Tieu Can District Regional General Hospital in Tra Vinh Province from April 2023 to April 2024. Employing a mixed-methods approach, the research involved a comprehensive review of medical records and in-depth interviews with healthcare staff and patients. Data collection focused on five core areas: patient screening and diagnosis, medical record creation and treatment monitoring, development and follow-up of treatment plans, routine re-examinations, and health communication/counseling. The implementation results indicate high adherence rates for monthly blood glucose testing (92.8%) and quarterly lipid profile testing (86.7%). Furthermore, a substantial 84.5% of patients attended scheduled re-examinations. However, significant gaps were identified in quarterly HbA1c testing (53.0%) and the quality and duration of counseling sessions. While treatment goals were met for fasting blood glucose in 70.2% of patients and for HbA1c in 74.0%, the study highlighted areas requiring enhanced attention. The findings underscore that while core outpatient management activities for type 2 diabetes are being implemented, there remain critical shortcomings in screening, counseling, and health communication. The study emphasizes the need for continuous efforts to enhance screening protocols, improve the content and frequency of counseling, optimize appointment reminder systems, and ensure comprehensive routine testing to strengthen treatment monitoring. These insights are crucial for healthcare providers and policymakers aiming to improve diabetes care outcomes, particularly within primary care settings in similar resource-limited districts.