Survey of opinion of general practionners in her management of diabetes in first-line public structures of Casablanca city Morocco: Opportunities and constraints

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Published Jun 26, 2013
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Vol. 91 No. 6 (2013): Issue Jun 2013

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S. Nani
S. Hassoune
N. Chinab
Z. Boumdi
A. Maaroufi

Abstract

Background: Diabetes is a global health problem in full expansion, because of its increasing frequency, it frightening complications and the costs of its medical covering.
aim: In this study, we tried to make the current situation of the diabetes management in first-line public structures of the city of Casablanca.
methods: The survey of transverse observation to descriptive aiming was conducted using a pre questionnaire tested and selfadministered.
results: It shows that 46.7 % of the questioned general practitioner judged that the quantity and the quality of average therapeutic existing in the center were insufficient to meet the needs for their diabetic patients. The weak socio-economic statute of the patients (78.8% of the cases), the lack of personnel (76.6%), the low educational level of patients (75.2%) and the problem of access to hospital (73.3%) constituted major problems of the correct diabetic medical covering. However, the majority of the doctors (98.1%) estimated to need training on diabetes management. The most required topics requested are: The control of the insulin treatment (97%), the diabetic education (91%) and the follow-up of diabetic (89%).
Conclusion: The training of general practitioners particularly motivated and interested in diabetes could be the solution to improve the management of diabetes especially because of the lack of specialists in our country.

Keywords:

Diabetes, general practionner, first-line public structures, management, continuing medical education

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