Document Type : Research articles

Authors

1 Professor of Health Management, Social Determinants of Health research center, Mashhad University of Medical Sciences, Mashhad, Iran

2 Assistant Professor of Health Education & Health Promotion, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

3 School of Health, Mashhad University of Medical Sciences, Mashhad, IR Iran

4 North Khorasan University of Medical Sciences, Bojnord, IR Iran

Abstract

Background: Diabetes could be especially difficult for females. The burden of diabetes on females is unique because the disease could affect both mothers and their unborn children.
Objectives: The aim of this study was to determine the effect of developing a communication network among physicians on the level of HbA1C and Fasting Blood Sugar (FBS) in patients with diabetes in Iran.
Methods: This study was a randomized clinical trial performed with 100 patients, who were randomly divided to experimental and control groups. The study was conducted from 20/11/2015 to 15/1/2016. A communication network was established among the physicians at health centers, to which patients in the intervention group were referred. The data were collected using a checklist of demographic information of patients. Laboratory results regarding the level of Glycated Hemoglobin (HbA1C) and Fasting Blood Sugar (FBS) of patients were gathered at baseline and 4 months after the establishment of the communication network.
Results: After the development of the communication network, HbA1C levels had reduced from 8.14 ± 2.08 to 7.90 ± 2.01 in the intervention group (P < 0.001), while in the control group HbA1C levels had increased from 8.98 ± 2.20 to 9.09 ± 2.21 (P < 0 .001).
Conclusions: The results showed that for successful control of diabetes, physicians need to communicate with each other and share information and experiences. Furthermore, establishing a communication network among physicians could be effective to control diabetes.

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