Evaluation of Diabetes Care Performance in Cambodia Through the Cascade-of-Care Framework: Cross-Sectional Study

Autor: Vannarath Te, Srean Chhim, Veerle Buffel, Wim Van Damme, Josefien van Olmen, Por Ir, Edwin Wouters
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: JMIR Public Health and Surveillance, Vol 9, p e41902 (2023)
Druh dokumentu: article
ISSN: 2369-2960
DOI: 10.2196/41902
Popis: BackgroundCambodia has seen an increase in the prevalence of type 2 diabetes (T2D) over the last 10 years. Three main care initiatives for T2D are being scaled up in the public health care system across the country: hospital-based care, health center–based care, and community-based care. To date, no empirical study has systematically assessed the performance of these care initiatives across the T2D care continuum in Cambodia. ObjectiveThis study aimed to assess the performance of the 3 care initiatives—individually or in coexistence—and determine the factors associated with the failure to diagnose T2D in Cambodia. MethodsWe used a cascade-of-care framework to assess the T2D care continuum. The cascades were generated using primary data from a cross-sectional population-based survey conducted in 2020 with 5072 individuals aged ≥40 years. The survey was conducted in 5 operational districts (ODs) selected based on the availability of the care initiatives. Multiple logistic regression analysis was used to identify the factors associated with the failure to diagnose T2D. The significance level of P
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