An in-depth Analysis of the Degree of Implementation of Integrated Care for Diabetes in Primary Health Care in Cambodia
Introduction: With the rising prevalence of type 2 diabetes (T2D), three care initiatives for T2D are being scaled-up in Cambodia to improve availability and accessibility of integrated care for T2D: (1) hospital-based care, (2) health centre-based care, and (3) community-based care. This case study...
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| Format: | Article |
| Language: | English |
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Ubiquity Press
2024-12-01
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| Series: | International Journal of Integrated Care |
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| Online Access: | https://account.ijic.org/index.php/up-j-ijic/article/view/7602 |
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| author | Vannarath Te Sereyraksmey Long Wim Van Damme Por Ir Edwin Wouters Josefien van Olmen |
| author_facet | Vannarath Te Sereyraksmey Long Wim Van Damme Por Ir Edwin Wouters Josefien van Olmen |
| author_sort | Vannarath Te |
| collection | DOAJ |
| description | Introduction: With the rising prevalence of type 2 diabetes (T2D), three care initiatives for T2D are being scaled-up in Cambodia to improve availability and accessibility of integrated care for T2D: (1) hospital-based care, (2) health centre-based care, and (3) community-based care. This case study aims to share learnings from an in-depth analysis of the level of integrated care implementation in these care initiatives for T2D in Cambodia. Description: Twenty public health facilities in five operational districts were assessed on six integrated care components: (1) early detection and diagnosis, (2) treatment in primary care services, (3) health education, (4) self-management support, (5) structured collaboration, and (6) organisation of care. Two raters independently scored each facility on a 0–5 scale based on multiple sources of data and reached a consensus. Discussion: The in-depth analysis showed that the three care initiatives were not implemented in an integrated manner, with low implementation scores (1 or 2 out of 5) in all selected settings. The presence of health centre-based care was associated with higher scores for early detection and diagnosis and treatment in primary care services, while the presence of community-based care was related to structured collaboration and organisation of care. Conclusion: The evidence suggests that while each care initiative has its potential contributions towards integrated care for T2D, the three care initiatives should be effectively implemented in an integrated manner in order to potentially produce the desired outcomes. |
| format | Article |
| id | doaj-art-0da9c6282727492eb56918558d0627a3 |
| institution | Kabale University |
| issn | 1568-4156 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj-art-0da9c6282727492eb56918558d0627a32025-01-08T07:57:31ZengUbiquity PressInternational Journal of Integrated Care1568-41562024-12-0124111110.5334/ijic.76027498An in-depth Analysis of the Degree of Implementation of Integrated Care for Diabetes in Primary Health Care in CambodiaVannarath Te0https://orcid.org/0000-0002-2059-3283Sereyraksmey Long1https://orcid.org/0000-0003-2507-1406Wim Van Damme2https://orcid.org/0000-0002-6344-3007Por Ir3https://orcid.org/0000-0003-3493-2749Edwin Wouters4https://orcid.org/0000-0003-2268-3829Josefien van Olmen5https://orcid.org/0000-0001-9724-1887School of Public Health, National Institute of Public Health, Phnom Penh, CO; Health Policy Unit, Department of Public Health, Institute of Tropical Medicine (Antwerp); Quality of Integrated Care, Department of Family Medicine and Population Health, the University of AntwerpSchool of Public Health, National Institute of Public Health, Phnom PenhHealth Policy Unit, Department of Public Health, Institute of Tropical Medicine (Antwerp)Management team, National Institute of Public Health, Phnom PenhCentre for Population, Family & Health, Department of Sociology, the University of AntwerpQuality of Integrated Care, Department of Family Medicine and Population Health, the University of AntwerpIntroduction: With the rising prevalence of type 2 diabetes (T2D), three care initiatives for T2D are being scaled-up in Cambodia to improve availability and accessibility of integrated care for T2D: (1) hospital-based care, (2) health centre-based care, and (3) community-based care. This case study aims to share learnings from an in-depth analysis of the level of integrated care implementation in these care initiatives for T2D in Cambodia. Description: Twenty public health facilities in five operational districts were assessed on six integrated care components: (1) early detection and diagnosis, (2) treatment in primary care services, (3) health education, (4) self-management support, (5) structured collaboration, and (6) organisation of care. Two raters independently scored each facility on a 0–5 scale based on multiple sources of data and reached a consensus. Discussion: The in-depth analysis showed that the three care initiatives were not implemented in an integrated manner, with low implementation scores (1 or 2 out of 5) in all selected settings. The presence of health centre-based care was associated with higher scores for early detection and diagnosis and treatment in primary care services, while the presence of community-based care was related to structured collaboration and organisation of care. Conclusion: The evidence suggests that while each care initiative has its potential contributions towards integrated care for T2D, the three care initiatives should be effectively implemented in an integrated manner in order to potentially produce the desired outcomes.https://account.ijic.org/index.php/up-j-ijic/article/view/7602diabetes careintegrated careinnovative care for chronic conditionsprimary health care |
| spellingShingle | Vannarath Te Sereyraksmey Long Wim Van Damme Por Ir Edwin Wouters Josefien van Olmen An in-depth Analysis of the Degree of Implementation of Integrated Care for Diabetes in Primary Health Care in Cambodia International Journal of Integrated Care diabetes care integrated care innovative care for chronic conditions primary health care |
| title | An in-depth Analysis of the Degree of Implementation of Integrated Care for Diabetes in Primary Health Care in Cambodia |
| title_full | An in-depth Analysis of the Degree of Implementation of Integrated Care for Diabetes in Primary Health Care in Cambodia |
| title_fullStr | An in-depth Analysis of the Degree of Implementation of Integrated Care for Diabetes in Primary Health Care in Cambodia |
| title_full_unstemmed | An in-depth Analysis of the Degree of Implementation of Integrated Care for Diabetes in Primary Health Care in Cambodia |
| title_short | An in-depth Analysis of the Degree of Implementation of Integrated Care for Diabetes in Primary Health Care in Cambodia |
| title_sort | in depth analysis of the degree of implementation of integrated care for diabetes in primary health care in cambodia |
| topic | diabetes care integrated care innovative care for chronic conditions primary health care |
| url | https://account.ijic.org/index.php/up-j-ijic/article/view/7602 |
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