Variation in health system performance for managing diabetes among states in India:a cross-sectional study of individuals aged 15 to 49 years

Autor: Viswanathan Mohan, Till Bärnighausen, Rifat Atun, Jonas Prenissl, Anne Christine Bischops, Ashish Awasthi, Lindsay M. Jaacks, Sebastian Vollmer, Jennifer Manne-Goehler, Pascal Geldsetzer, Justine Davies
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Rural Population
Male
Quality Assurance
Health Care

Cross-sectional study
Psychological intervention
lcsh:Medicine
Health Services Accessibility
610 Medical sciences Medicine
0302 clinical medicine
Prevalence
030212 general & internal medicine
Quality Assurance
Health Care/statistics & numerical data

Observer Variation
education.field_of_study
Diabetes
1. No poverty
General Medicine
Care cascade
Middle Aged
3. Good health
Health system performance
language
Marital status
Diabetes Mellitus/epidemiology
Female
Research Article
Adult
Health Systems Plans/standards
Adolescent
Population
India
Population health
03 medical and health sciences
Young Adult
Health Services Accessibility/organization & administration
Diabetes mellitus
medicine
Diabetes Mellitus
Humans
Rural Population/statistics & numerical data
education
business.industry
lcsh:R
Health Systems Plans
medicine.disease
language.human_language
India/epidemiology
Cross-Sectional Studies
Tamil
Rural area
business
030217 neurology & neurosurgery
Demography
Zdroj: Prenissl, J, Jaacks, L M, Mohan, V, Manne-Goehler, J, Davies, J I, Awasthi, A, Bischops, A C, Atun, R, Bärnighausen, T, Vollmer, S & Geldsetzer, P 2019, ' Variation in health system performance for managing diabetes among states in India : a cross-sectional study of individuals aged 15 to 49 years ', BMC Medicine, vol. 17, no. 1, pp. 92 . https://doi.org/10.1186/s12916-019-1325-6
BMC Medicine
BMC Medicine, Vol 17, Iss 1, Pp 1-12 (2019)
DOI: 10.1186/s12916-019-1325-6
Popis: Background Understanding where adults with diabetes in India are lost in the diabetes care cascade is essential for the design of targeted health interventions and to monitor progress in health system performance for managing diabetes over time. This study aimed to determine (i) the proportion of adults with diabetes in India who have reached each step of the care cascade and (ii) the variation of these cascade indicators among states and socio-demographic groups. Methods We used data from a population-based household survey carried out in 2015 and 2016 among women and men aged 15–49 years in all states of India. Diabetes was defined as a random blood glucose (RBG) ≥ 200 mg/dL or reporting to have diabetes. The care cascade—constructed among those with diabetes—consisted of the proportion who (i) reported having diabetes (“aware”), (ii) had sought treatment (“treated”), and (iii) had sought treatment and had a RBG
Databáze: OpenAIRE
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