Endocrine Abstracts

Introduction & Objective: This poster shows various pathways for patients who were recently diagnosed with T2DM and NAFLD in North Bihar, India. It also analyses trajectories as well as missed opportunities and earlier intervention possibilities.

Methods: The study was conducted at RCDHO in Samastipur, Bihar. A total of 148 participants were enrolled and data was obtained from questionnaires and analysis of healthcare records.

Results: In the healthcare sector, the journey towards well-being often diverges into three distinct pathways, each steering individuals towards different outcomes. On the favourable pathways, those who seek consultations from highly skilled and MBBS qualified doctors experience a streamlined process of diagnosis and optimal management of their health concerns. The expertise of these healthcare professionals ensures early and effective identification of issues, paving the way for timely and targeted interventions. Contrastingly, the unfavourable pathways are fraught with impediments that hinder the trajectory towards health improvement. Delays often ensue when individuals opt for non-specialist consultations, leading to a protraction in the diagnostic and management phases. Financial difficulties become an additional roadblock, impeding access to necessary healthcare services. Late referrals to health professionals exacerbate the situation, further complicating the path to recovery. Within this intricate web of healthcare dynamics, missed opportunities emerge as a critical concern. The lack of awareness about health issues and the absence of awareness-based screening contribute to a failure in early detection. Limited availability of specialized care and diagnostic tools further impedes progress, while inadequate knowledge among healthcare providers adds a layer of complexity to the situation. The domino effect continues with low timely referrals and economic constraints, collectively creating missed opportunities for individuals to attain optimal health outcomes. Addressing these multifaceted challenges is paramount to fostering a healthcare system that ensures equitable access, early intervention, and improved overall well-being for all.

Conclusion: Critical improvements in healthcare necessitate a multifaceted approach. Strengthening systems of referral is essential for seamless patient transitions between care levels. Concurrently, enhancing health literacy empowers individuals to make informed decisions, fostering a proactive approach to well-being. Investing in healthcare infrastructure ensures sufficient resources for diagnosis and treatment, while comprehensive training for healthcare providers equips them to navigate evolving healthcare demands effectively. A poignant priority lies in raising awareness and broadening access for the early diagnosis and treatment of Type 2 Diabetes Mellitus (T2DM) with Non-Alcoholic Fatty Liver Disease (NAFLD), addressing a pressing need for proactive management and improved health outcomes.