Organizational factors, health outcomes, and their predictors in type 2 diabetes care in the occupied Palestine / Rami Salem Abdelmajid Mosleh

Political instability of Palestine influenced economic, social, and health aspects. Diabetes prevalence at Palestine was 10%, with rising fund crisis and diabetes care problems. There was a limited research concerning diabetes care dimensions (organizational factors and health outcomes) and their predictors. Health outcomes included costs, diabetes selfcare management, and glycaemic control. This study described patient characteristics, assessed organizational factors, diabetes self–care management, glycaemic control, and their predictors, evaluated drug utilization pattern, assessed costs and their predictors. This study had two phases, and was carried out at the National Centre for Chronic Diseases and Dermatology, Ramallah, Palestine. Phase one is retrospective crosssectional in 330 participants recruited by convenience sampling method from a type 2 diabetes patients list who were seen regularly during the past one year. Phase two is anobservational follow–up that involved 79 participants selected from phase one participants by simple random sampling; they were followed–up for six months. Data on patient characteristics, organizational factors, diabetes self–care management, and glycaemic control were collected from personal interview and medical records review for both phases.