Effects of Community-Based Primary Care Management on Patients With Hypertension and Diabetes

Abstract

As the prevalence of chronic diseases is continuously increasing, the socioeconomic cost of those conditions in Korea is also rising. In order to effectively manage chronic diseases, the “Community-Based Primary Care Project” was implemented from 2014 to 2016 and focused on primary medical care and physician-led chronic disease management. The purpose of this study is evaluating the effects of the project through the DID (difference in difference) model. The project’s database and the National Health Insurance claims database were both used to compare the project and control groups (n = 6092 vs 24 368). Results of the analysis show that medication adherence was increased more in the project group compared with the control group. Hospitalization days, outpatient days, and number of primary medical clinic visits increased more in the participant group than the control group. As the project showed an improvement in treatment persistence, it will be necessary to monitor for a longer period of time.

Effects of Diabetes Quality Assessment on Diabetes Management Behaviors Based on a Nationwide Survey

“…The positive relationship between the proportion of hospitals with good diabetes management and walking activity can be explained by the health education provided by medical personnel to diabetic patients to have a good lifestyle. Several large-scale chronic disease management programs implemented in the South Korea Program [ 8 , 9 ] reported that education and consulting improved disease management. However, since the proportion of hospitals with good diabetes management in our study did not show an association between smoking rate and obesity rate, it is possible that the proportion of hospitals with good diabetes management may proxy other characteristics at the regional level.…”

“…To improve diabetes complication management, various projects have been implemented in South Korea, including the Korean community-based Registration and Management Program for Hypertension and Diabetes [ 7 ], the Non-communicable Diseases Prevention and Control Program [ 8 ], and the Primary Care Project [ 9 ]. Health Insurance Review and Assessment (HIRA) evaluates treatment outcomes in clinics and hospitals for chronic diseases such as hypertension, diabetes, and asthma, and provides financial incentives to primary care clinics and hospitals with good outcomes.…”

<p>Current Status and Challenges of Community-Based Elderly Care Centers in Chongqing, China: A Cross-Sectional Study</p>

“…[18][19][20] A large number of studies highlight the importance of good-quality elderly care provided by CBECCs. [21][22][23] Unlike other studies to analyze human resource or user's characteristics, 20,24 the present study mainly focused on CBECC site selections, physical environment, facilities, and operation. After the investigation with 69 CBECCs in a district of Chongqing, China, this study provides a comprehensive understanding about the current status of the CBECCs, which would be essential to formulate effective elderly care strategies.…”

Patient Perspectives of Diabetes and Diabetic Retinopathy Services in Kiribati: A Qualitative Study

“…10 Integrated diabetes management programs in other countries in the region have shown some promise, for example, a physician-led community-based primary care project in the Republic of Korea including individual health plans and educational counselling. 11 The prevalence of diabetes has been steeply rising in Kiribati over the past 3 decades. In 1984, the age-standardized prevalence of type 2 diabetes was reported as 8% in men and 7% in women.…”