基于社区的SPARSH计划对某些非传染性疾病的控制的影响:混合方法评估
Dhara Chaudhari1, Amol R Dongre2, Mayur K Shinde3
1Department of Community Medicine, Pramukhswami Medical College, Karamsad, Gujarat, India.
概括
基于社区的SPARSH计划通过增加治疗坚持改善了非传染性疾病 (NCD) 管理. 这导致患者通过家庭访问和药物递送更好地控制高血压和糖尿病.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 非传染性疾病管理
背景情况:
- 基于社区的非传染性疾病 (NCD) 管理面临诸如治疗坚持不良,高成本和有限的护理机会等挑战.
- 了解患者对低治疗坚持的看法对于改善NCD结果至关重要.
研究的目的:
- 评估基于社区的SPARSH计划对NCD治疗坚持,支出和疾病控制的影响.
- 为了确定患者报告的治疗坚持不强的原因.
主要方法:
- 一种混合方法评估设计,结合了定量 (对850名NCD患者的横截面调查) 和定性 (自由列表) 组件.
- 使用路径分析来评估SPARSH计划对治疗坚持和非传染性疾病 (高血压,糖尿病) 控制的影响.
- 定性数据探讨了患者治疗坚持不强的原因.
主要成果:
- 参与SPARSH计划的患者表现出明显更好的治疗坚持.
- 较高的治疗坚持 (90%) 与改善高血压和糖尿病 (90%) 的控制有关.
- 低坚持的关键原因包括忘记药物,成本和健康状况的感知改善.
结论:
- 该SPARSH计划有效地改善了治疗坚持和NCD控制,特别是在高血压和糖尿病.
- 程序策略,如家庭访问,咨询和门口药物递送,对于提高坚持是至关重要的.
- 基于社区的干预措施对于克服NCD管理障碍至关重要.
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