Page 64 - KAMUS RETEN PRIMER 2024

6.9 AUDIT ENHANCED PRIMARY CARE

EnPHC Indicators : Target Description

NO INDICATORS TARGET TARGET BASIS
Comparison with NationalHealth Morbidity Survey 2015
(18 years & above) findings:
1 Percentage of newly diagnosed DM (by Diagnosis) 9% of screened population
 Diagnosed with DM: 17.5%
 Undiagnosed DM: 9.2%
Comparison with NationalHealth Morbidity Survey 2015
(18 years & above) findings:
2 Percentage of newly diagnosed HPT (by Diagnosis) 17% of screened population
 Diagnosed with HPT: 30.3%
 Undiagnosed HPT: 17.2%
Comparison with NationalHealth Morbidity Survey 2015
(18 years & above) findings:
3 Percentage of newly diagnosed Dyslipidaemia (by Diagnosis) 38% of screened population
 Diagnosed with Dyslipidaemia:47.7%
 Undiagnosed Dyslipidaemia: 38.6%
4 Percentage of Compliance to Clinic Appointments 90%ofScheduled Clinic Probability of normal distribution.
Appointment

5 Percentage ofCompliance to Hospital Appointments (Referral) 100% ofScheduled Hospital Expected to be seen by Hospital specialist because its
Appointments beyond Primary Care management
6 Percentage of Population Enrolment 95% of assigned population Probability of normal distribution.
Probability of population with at least one NCO Risk.
Comparison with National Health Morbidity Survey 2015
7 Percentage ofpopulation screened 50% of assigned population (18 years & above) findings:
 Overweight: 30% { WHO (1998)
 Obesity: 17.7% Classifications
Literature review:
90%ofMedication Refill  20% - antihypertensive medications
8 Percentage ofAdherence to Medication Refill Appointments
Appointments  21% - lipid-lowering medications
 25%- oralhypoglycaemic medications
9 Percentage of Well Controlled Diabetes Mellitus (DM) 30% with HbA1c ≤ 6.5% Achievement from NDR in 2021: 32%
Achievements for KK EnPHC:
10 Percentage of Well Controlled Hypertension (HPT) 55% with BP<140/90 mmHg  2020: 51.4%
 2021: 45.2%