고혈압 및 당뇨병 관리를 위한 지역사회중심의 접근전략과 발전방향
Community based strategies and directions for the management of hypertension and diabetes
1
조회
0
다운로드
6
인용
0
참고문헌
키워드
초록
Objectives: The study was to propose strategies and directions how to manage the hypertension and diabetes in communities. Methods: The survey data from 606 patients with hypertension or diabetes based on Community Health Survey, 2013 were analyzed and the hypertension and diabetes projects in communities for last 10 years were reviewed. Results: The patients visiting the primary clinics had statistically significant lower rates than those of teaching hospitals in physician’s recommendation experience, perception level of attention from doctors, self-efficacy and health habit practice level. Since the Hypertension and diabetes registration and management system in 2007, there have been several trials for management of hypertension and diabetes such as Chronic diseases management system on the primary clinics, Community based primary medical care pilot projects, Post-national health screening management, and Pilot project on reimbursement for chronic diseases care services. Conclusions: The upmost urgent task might be to have a support system for patients’ self care affiliated with primary clinics. To achieve it, it is necessary to expand the current Hypertension and diabetes registration and management system into nation and to find a way to attract the active participation from primary clinics.
Abstract
Objectives: The study was to propose strategies and directions how to manage the hypertension and diabetes in communities. Methods: The survey data from 606 patients with hypertension or diabetes based on Community Health Survey, 2013 were analyzed and the hypertension and diabetes projects in communities for last 10 years were reviewed. Results: The patients visiting the primary clinics had statistically significant lower rates than those of teaching hospitals in physician’s recommendation experience, perception level of attention from doctors, self-efficacy and health habit practice level. Since the Hypertension and diabetes registration and management system in 2007, there have been several trials for management of hypertension and diabetes such as Chronic diseases management system on the primary clinics, Community based primary medical care pilot projects, Post-national health screening management, and Pilot project on reimbursement for chronic diseases care services. Conclusions: The upmost urgent task might be to have a support system for patients’ self care affiliated with primary clinics. To achieve it, it is necessary to expand the current Hypertension and diabetes registration and management system into nation and to find a way to attract the active participation from primary clinics.
참고문헌 (20)
- Baptista, D. R., "The chronic care model for type 2 diabetes : a systematic review", Diabetology & metabolic syndrome, 8, pp.7~ (2016)
- Bodenheimer, T., "Improving primary care for patients with chronic illness : the chronic care model", JAMA, 288, pp.1775~1779 (2002)
- Evaluation of treatment continuity by the hypertension and diabetes registration and management system using database from the National health insurance database, "Korea Center for Disease Control", ~ (2013)
- National Health Statistics, "Korea Center for Disease Control", ~ (2014)
- Korea Center for disease control and prevention, "The 6th Non Communicable Disease Forum" (2015), Proceeding book
- Landon, B. E., "Integrating public health and primary care system", JAMA, 308(5), pp.461~462 (2012)
- Lee, S. Y., "Hypertension and diabetes registration and management system in community", The academic conference proceeding book of. Korea Academy of Health Policy and Management, pp.153~178 (2014)
- Lewanczuk, R., "Hypertension as a chronic disease : what can be done at a regional level?", Canadian Journal of Cardiology, 24(6), pp.483~484 (2008)
- Comprehensive Plan for National Health Promotion by subjects, "Ministry of Health and Welfare", ~ (2005)
- Ministry of Health and Welfare, "Guideline for health exam for life stages", ~ (2007)
- Comprehensive Plan for National Health Promotion 2008 Implementation Plan, "Ministry of Health and Welfare", ~ (2007)
- National Health Promotion Project: Regional special Health behavior and attitude improvement project, "Ministry of Health and Welfare", ~ (2008)
- Guide of management plan for major chronic diseases in 2010, "Ministry of Health and Welfare", ~ (2009)
- 2015 Guidebook for community integrated health promotion projects (management and prevention of cardio-cerebrovascular diseases), "Ministry of Health and Welfare", ~ (2015)
- Disease statistics from reimbursement data based on 298 disease classification, "National Health Insurance Service", ~ (2015)
- Morisky, D. E., "Concurrent and predictive validity of a self-reported measure of medication adherence and long-term predictive validity of blood pressure control", Med Care, 24, pp.67~74 (1986)
- National plan for chronic disease management by insurer (NHIC-CDM): Road map for midterm and longterm plan, "Park, J. Y.", ~ (2007)
- Wagner, E. H, "Chronic disease management: What will it take to improve care for chronic illness?", Effective Clinical Practice, 1(1), pp.2~4 (1998)
- Wagner, E. H., "Improving chronic illness care : Translating evidence into action", Health Aff(Millwood), 20, pp.64~78 (2001)
- Yoon, S. J., "The development of model for efficient management of hypertensive patients and diabetics sponsored", Korea Center for Disease Control (2013)