Assessment of Diabetes Disease Management in Saudi Primary Health Care: A Cross-Sectional Study

Objectives: The aim of the study is to assess diabetes disease management in AlMadinah's primary health care sector. Methods: A cross sectional study conducted at all primary health care centers in AlMadinah City from 2nd February until 27th February 2016. This study utilizes the chronic care model (CCM) framework to examine the extent to which diabetes healthcare services are implemented. Seventy-five physicians representing chronic care clinics participated in this study by responding the Assessment of Chronic Illness Care questionnaire. Descriptive statistics were derived as instructed by the instrument's guidelines. Results: The overall Assessment of Chronic Illness Care mean is 6.12 (SD=2.4) and the highest subscale mean is 7.2 (SD=2.2) for the organization of the health care system while the lowest mean is 5.5 (SD=2.4) for the self-management subscale. Lowest items scores were community programs and partnership with community organizations, 4.3 (SD=3) and 4.8 (SD=2.2) respectively. Conclusion: The study results revealed reasonable implementations of the chronic care model with questionable community participation effectiveness in managing diabetes. However, further studies are needed to provide more in-depth assessment of each component of the CCM including patients' perceptions and nurses' roles in managing chronic illnesses.