The Effect of Diabetic Care System during COVID-19 Situation In Wangthong Hospital, Phitsanulok
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Abstract
The objectives of this study were 1) to compare the outcome of diabetes care before and after adjusting the diabetes care system during the coronavirus period and 2) to compare the outcomes of diabetes care between those who participated in the Diabetic Care System Program during Covid-19 situation with those who received regular hospital care. The study consisted of 2,132 diabetic patients, which were divided into four groups. Group 1 is those who can control FBS and participated in the program, Group 2 is those who control FBS and received treatment at the hospital, Group 3 is those who cannot control FBS and participated in the program, and Group 4 is those who cannot control FBS and received treatment at the hospital. Data were collected from Wang Thong Hospital Medical Information System and analyzed by pair t-test and independent t-test. The results showed that when comparing treatment outcomes before and after the initiation of the program among diabetic patients, group 1 and 2 average FBS increased statistically. The average FBS of diabetic patients in group 1 was significantly higher than that of group 2 and there is no difference of average FBS between diabetic patients in group 3 and 4.
In conclusion, the FBS control group, both participating in program and receiving hospital treatment, had a statistically significant increase in FBS. However, diabetes patients who participated in program had better outcomes than those treated at hospital. Therefore, the patients received continuous and effective care from the Diabetic Care System Program during Covid-19 situation. However, over the long term, further studies of the potential effects should be done.
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References
WHO. Update Covid 19 what we Know? [Internet]. [cited 2021 May 31]. Available from: https://www.who.int/docs/default-source/searo/thailand/update-28-covid-19-what-we-know---june2020---thai.pdf?sfvrsn=724d2ce3_0.
Worldometers. Covid-19 Coronavirus pandemic. [Internet]. [cited 2021 May 31]. Available from: https://www.worldometers.info/coronavirus/.
Department of Disease Control, Ministry of Public Health. COVID-19. [Internet]. [cited 2021 May 31]. Available from: https://ddc.moph.go.th/viralpneumonia/index.php. (in Thai).
Department of Disease Control, Ministry of Public Health. Data for self-protection from Covid 19. [Internet]. [cited 2021 May 31]. Available from: https://ddc.moph.go.th/viralpneumonia/file/introduction/introduction01.pdf. (in Thai).
Prutpinyo C. Surveillance, prevention, and control measures of COVID-19 pandemic. Public Health Policy and Laws Journal 2020;6(2):467-85. (in Thai).
Department of Disease Control, Ministry of Public Health. Prevention Covid measures. [Internet]. [cited 2021 May 31]. Available from: https://ddc.moph.go.th/viralpneumonia/
file/im_commands/im_commands09.pdf. (in Thai).
Chan KS, Wan EYF, Chin WY, Cheng WHG, Ho MK, Yu EYT, et al. Effects of continuity of care on health outcomes among patients with diabetes mellitus and/or hypertension: a systematic review. BMC Fam Pract 2021;22(145): https://doi.org/10.1186/s12875-021-01493-x.
Kyoung Hee Cho, Chung Mo Nam, Young Choi, Jae-Woo Choi, Seon-Heui Lee, Eun-Cheol Park. Impact of continuity of care on preventable hospitalization of patients with type 2 diabetes: a nationwide Korean cohort study, 2002-10. International Journal for Quality in Health Care 2016;28(4):478-85.
Wongthawarawat W. Diabetes mellitus. In: Sridama W, editor. Textbook of internal medicine 3. Bangkok: Chulalongkorn University Printing House; 2007. p.171-86. (in Thai).
Diabetes Association of Thailand under The Patronage of Her Royal Highness Princess Maha Chakri Sirindhorn. Practice guidelines for diabetes 2017. Pathumthani: Romyen Media; 2017. (in Thai).
Advanced Medical Reviews. Continuity of care: improving patient outcomes. [Internet]. [cited 2021 May 31]. Available from: https://www.admere.com/amr-blog/continuity-of-care-improving-patient-outcomes.
Baptista DR, Wiens A, Pontarolo R, Regis L, Christine Reis WCT, Correr CJ. The chronic care model for type 2 diabetes: a systemic review. Diabetology and Metabolic Syndrome 2016;8(7).doi:10.1186/s13098-015-0119-z.
Agency for Healthcare Research and Quality. Integrating chronic care and business strategies in the safety net. [Internet]. [cited 2021 May 31]. Available from: https://www.ahrq.gov/ncepcr/care/chronic-tool/index.html.
Meesilp R, Pragodpol P. Development of DM bank innovation for uncontrolled type 2 diabetes mellitus patients. Royal Thai Navy Medical Journal 2021;48(3):496-515. (in Thai).
Kruczek N. What is the role of the mail-order pharmacy? [Internet]. [cited 2021 March 9]. Available from: https://www.pharmacytimes.com/view/what-is-the-role-of-the-mail-order-pharmacy.
eVisit. Telemedicine definition. [Internet]. [cited 2021 March 9]. Available from: https://evisit.com/resources/telemedicine-definition.
Rakkwamsuk S, Reunreang T. Factors predicting health behaviors among type 2 diabetes patients dwelling in Mueng district, Chon Buri province. Royal Thai Navy Medical Journal 2020;47(3):544-61. (in Thai).
Suwattanakul T. Factors related to blood sugar control among diabetes mellitus type 2 patients. Journal of Health System Research 2018;12(3):515-22. (in Thai).
Baker C, Retzik-Stahr C, Singh V, Plomondon R, Anderson V, Rasouli N. Should metformin remain the first-line therapy for treatment of type 2 diabetes?. Therc Adv Endocrinol Metab 2021;12:1-13.
Bangkok Hospital. Diabetic diet in summer. [Internet]. [cited 2022 May 15]. Available from: https://www.bangkokhospital.com/content/diabetic-diet-in-summer. (in Thai).
Nunphoobal S. Myth of liquor in context of Thai society. Journal of Humanities and Social Sciences Loei Rajabhat University 2018;1(2):97-106. (in Thai).
Mannucci E, Dicembrini I Lauria A, Pozzilli P. Is Glucose Control Important for Prevention of Cardiovascular Disease in Diabetes?. Diabetes Care 2013;36 (Suppl 2):S259-63.
Goto A, Noda M, Matsushita Y, Goto M, Kato M, Isogawa A, et al. Hemoglobin A1c levels and the risk of cardiovascular disease in people without known diabetes: a population-based cohort study in Japan. Medicine 2015;94(17):e785.
Holman R, Paul SK, Bethel MA, Matthews DR, Neil AW. 10-Year Follow-up of intensive glucose control in type 2 diabetes. N Eng J Med 2008;359:1577-89.
Schulman-Green D, Jaser S, Park C, Whittemore R. A metasynthesis of factors affecting self-management of chronic illness. J Adv Nurs 2016;72(7):1469-89.
Nathan DM. The diabetes control and complications trial/epidemiology of diabetes interventions and complications study at 30 years: overview. Diabetes Care 2014;37:9-16.