Quality of Medical Record Management for Patients with Diabetes Mellitus: Do the general practitioners need continuous education?

Health care system in Bosnia and Herzegovina is undergoing major reforms, including reorganization of primary health care offices from being general medicine in primary health care units into family medicine practices according to European accreditation standards. To be successful, general practitionerʹs teams have to acquire new skills and knowledge from the fields of family medicine in order to get close to accreditation standards Twenty general practitioners teams from three Federal cantons conducted medical record clinical revision on diabetes mellitus according to standards provided by Bosnia and Herzegovina Federal Agency for Healthcare Quality and Accreditation. The results of medical records clinical revision on 210 females and 190 males on diabetes mellitus were not satisfactory. Proportion of positive inspection results was the best in the group of blood pressure readings recorded in the record, but the number of patients with foot examination (40%); BMI (39%) and Hg-bA1C (20,75%) noted in the record during the last year was significantly low comparing to requested standards. Good preparation for future work as family medicine teams who will work under European standards provided by Federal Agency for Healthcare Quality and Accreditation needs continuation of education for doctors in general medicine field and should be recommended as a standard.