The Use of Appropriate Services of Intervention Packages for the Prevention and Control of Diabetes and Hypertension

Abstract

The study aimed to assess the outcomes of the implementation of an appropriate services packages for the prevention and control of diabetes and hypertension. It was conducted using a mixed method research design consisting of quantitative research of which data were collected by using patient service reports in accordance with the diabetes control and hypertension prevention service in the district health facilities from 12 public health regions of Thailand. The qualitative research conducted focus group discussions with a multidisciplinary team. The results of the research showed that providing prevention and control services for diabetes and hypertension patients were necessary to integrate all 4 interventions, intervention packages which includes: (1) motivational interviewing, (2) home blood pressure monitoring (HBPM), (3) Thai diabetes prevention program, and (4) recommended diet for the prevention and control of noncommunicable diseases. After implementationg the 4 comprehensive interventions, it was revealed that 63.90% of patients with uncontrollable blood sugar had better control outcomes. Meanwhile, 87.46 percent of patient with uncontrolled blood pressure also had better controlled of their blood pressure. Therefore, the use of the appropriate service model for prevention and control for diabetes and hypertension patients should be promoted and expanded to cover all areas. It is also recommended to transfer knowledge about service integration as well as the application of the service model to be in with the context of each area in order to create a model that is suitable for promoting systematical services in the NCD clinics.