Content, participants and outcomes of three diabetes care programmes in three low and middle income countries

Autor: Josefien van Olmen, Kalobu Jean Clovis, Van Acker Kristien, Eggermont Natalie, Bewa Emery, Schellevis François, Hen Heang, Van Pelt Maurits, Ku Grace Marie, Kegels Guy, Darras Christian
Přispěvatelé: Gerontology, Frailty in Ageing, General practice, EMGO - Lifestyle, overweight and diabetes
Rok vydání: 2015
Předmět:
Male
Program evaluation
Health Knowledge
Attitudes
Practice
medicine.medical_specialty
National Health Programs
Philippines
Endocrinology
Diabetes and Metabolism
Context (language use)
Overweight
Health Services Accessibility
Patient Education as Topic
Nursing
Health facility
Health care
Diabetes Mellitus
Internal Medicine
medicine
Humans
Community Health Services
Healthcare Disparities
Program Development
Community-based care
Developing Countries
Poverty
Aged
Nutrition and Dietetics
Primary Health Care
business.industry
Process Assessment
Health Care
Health Care Costs
Middle Aged
Translational research
Low-income countries
Self Care
Treatment Outcome
Family medicine
Self-management education
Community health
Democratic Republic of the Congo
Income
Female
Health Expenditures
medicine.symptom
Cambodia
Family Practice
business
Peer education
Program Evaluation
Diabetes care
Zdroj: van Olmen, J, Marie, K G, Christian, D, Clovis, K J, Emery, B, Maurits, V P, Heang, H, Kristien, V A, Natalie, E, Francois, S & Guy, K 2015, ' Content, participants and outcomes of three diabetes care programmes in three low and middle income countries ', Primary care diabetes, vol. 9, no. 3, pp. 196-202 . https://doi.org/10.1016/j.pcd.2014.09.001
Primary care diabetes, 9(3), 196-202. Elsevier BV
ISSN: 1751-9918
DOI: 10.1016/j.pcd.2014.09.001
Popis: Aims To improve access and quality of diabetes care for people in low-income countries, it is important to understand which elements of diabetes care are effective. This paper analyses three diabetes care programmes in the DR Congo, Cambodia and the Philippines. Methods Three programmes offering diabetes care and self-management were selected. Programme information was collected through document review and interviews. Data about participants’ characteristics, health outcomes, care utilisation, expenditures, care perception and self-management were extracted from a study database. Comparative univariate analyses were performed. Results Kin-reseau (DR Congo) is an urban primary care network with 8000 patients. MoPoTsyo (Cambodia) is a community-based peer educator network, covering 7000 patients. FiLDCare (Philippines) is a programme in which 1000 patients receive care in a health facility and self-management support from a community health worker. Content of care of the programmes is comparable, the focus on self-management largest in MoPoTsyo. On average, Kin-reseau patients have a higher age, longer diabetes history and more overweight. MoPoTsyo includes most female, most illiterate and most lean patients. Health outcomes (HbA1C level, systolic blood pressure, diabetes foot lesions) were most favourable for MoPoTsyo patients. Diabetes-related health care expenditure was highest for FiLDCare patients. Conclusions This study shows it possible to maintain a diabetes programme with minimal external resources, offering care and self-management support. It also illustrates that health outcomes of persons with diabetes are determined by their bio-psycho-social characteristics and behaviour, which are each subject to the content of care and the approach to chronic illness and self-management of the programme, in turn influenced by the larger context.
Databáze: OpenAIRE
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