Introduction. The present study evaluated the quality of medical care for patients diagnosed with diabetes mellitus (DM), hypertension (HBP), and both pathologies (DM+HBP) within a public health system in Mexico. Methods. 45,498 patients were included from 2012 to 2015. All information was taken from the electronic medical record database. Each patient record was compared against the standard to test the quality of medical care. Results. Glycemia with hypertension goals reached 29.6% in DM+HBP, 48.6% in DM, and 53.2% in HBP. The goals of serum lipids were reached by 3% in DM+HBP, 5% in DM, and 0.2% in HBP. Glycemia, hypertension, and LDL cholesterol reached 0.04%. 15% of patients had an undiagnosed disease. Clinical follow-up examinations reached 20% for foot examination and clinical eye examination. Specialty referrals reached 1% in angiology or cardiology. Conclusion. Goals for glycemic and hypertension reached 50% in the overall population, while serum lipids, clinical follow-up examinations, and referral to a specialist were deficient. Patients who had both diseases had more consultations, better control for hypertension and lipids, but inferior glycemic control. Overall, quality care for DM and/or HBP has not been met according to the standards.

中文翻译：

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墨西哥初级保健中糖尿病和高血压患者的医疗评估：观察性回顾性研究

简介。本研究评估了墨西哥公共卫生系统内诊断为糖尿病 (DM)、高血压 (HBP) 和两种疾病 (DM+HBP) 的患者的医疗质量。方法。从 2012 年到 2015 年，共纳入 45,498 名患者。所有信息均来自电子病历数据库。将每个患者记录与标准进行比较，以测试医疗服务的质量。结果. 具有高血压目标的血糖在 DM+HBP 中达到 29.6%，在 DM 中达到 48.6%，在 HBP 中达到 53.2%。血脂目标在 DM+HBP 中达到 3%，在 DM 中达到 5%，在 HBP 中达到 0.2%。血糖、高血压和低密度脂蛋白胆固醇达到0.04%。15% 的患者有未确诊的疾病。足部检查和临床眼科检查的临床随访检查达到20%。血管学或心脏病学的专科转诊率达到 1%。结论. 总体人群的血糖和高血压目标达到 50%，而血脂、临床随访检查和转诊专家均不足。同时患有这两种疾病的患者就诊次数较多，对高血压和血脂的控制较好，但血糖控制较差。总体而言，DM 和/或 HBP 的优质护理并未达到标准。