Level |
Type of Institution |
Responsibilities |
|
Primary level |
Rural clinic |
Manned by nurses and nurse aides. |
Initial assessment of diabetic patients |
No tdeatment |
Cases are referred to secondary level |
No facilities for inpatients. |
|
|
|
Secondary level |
District hospital |
Treatment, monitoring, education of referred uncomplicated diabetic cases.
|
One or two doctors (mostly general practitioners)
|
Admission of patients.
|
Complicated cases are referred to level 3 |
|
Tertiary level |
Provincial hospital |
Continued management (treatment, monitoring, and education) of diabetics in diabetes clinics
|
Limited specialized doctors, general practitioners and nurses
|
More complicated cases are referred to level 4 |
|
Quaternary level |
Central hospitals and private-for- profit hospitals |
More specialist physicians in internal medicine, general practitioners and general nurses. |
Diabetes clinics for management of patients with diabetes- related complications. |
Patients are referred back either to level 2 or 3 when stable. |