Evaluating A Multicomponent Chronic Disease Management Pilot Intervention among Korean Patients with Hypertension and...

Area of Science:

• Public Health
• Healthcare Management
• Chronic Disease Epidemiology

Background:

• A clinic-based chronic disease management intervention was implemented in Korea in 2019.
• This intervention encompassed care planning, disease management education, and patient monitoring.
• The study aimed to assess the intervention's impact on medication adherence for hypertension and diabetes patients.

Purpose of the Study:

• To evaluate the effectiveness of a chronic disease management intervention on medication adherence.
• To analyze the association between participation in the intervention and medication adherence rates.
• To provide evidence for the integration of comprehensive chronic disease management programs in primary care.

Main Methods:

• A retrospective case-control study design was employed using Korean National Health Insurance Service data.
• Propensity score matching was utilized to mitigate selection bias.
• Multivariate logistic regression analysis examined the relationship between intervention participation and medication adherence (medication possession rate).

Main Results:

• Patients participating in the full component intervention showed improved medication adherence.
• For hypertension patients, the odds ratio (OR) for medication adherence was 1.23 (95% CI: 1.03-1.45).
• For diabetes patients, the OR for medication adherence was 1.64 (95% CI: 1.24-2.17).

Conclusions:

• Comprehensive chronic disease management programs utilizing multidisciplinary teams are vital in primary care.
• Refinement of reimbursement systems is necessary to support such programs.
• The findings support the institutionalization of integrated chronic disease management strategies.