The effectiveness of diabetes shared care program for patients with stable type II diabetes in Hong Kong

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The effectiveness of diabetes shared care program for patients with stable type II diabetes in Hong Kong

 

Author: So, Mun-yee Tammy
Title: The effectiveness of diabetes shared care program for patients with stable type II diabetes in Hong Kong
Degree: M.Sc.
Year: 2000
Subject: Diabetics -- Care -- China -- Hong Kong
Diabetes -- China -- Hong Kong
Hong Kong Polytechnic University -- Dissertations
Department: Multi-disciplinary Studies
Dept. of Nursing and Health Sciences
Pages: vi, 69 leaves : ill. ; 30 cm
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b1554867
URI: http://theses.lib.polyu.edu.hk/handle/200/4947
Abstract: Diabetes is a known chronic disease associated with increased risk of debilitating complications unless appropriately managed. In view of the increasing prevalence of diabetes among Chinese in Hong Kong and an ageing population, a new health care model in the concept of shared care between hospital and community was implemented for patients with stable type II diabetes. An exploratory and descriptive design research study with retrospective case record review and face-to-face semi-structured interviews was conducted to assess the effectiveness and feasibility of the Shared Care Model among people with diabetes. Satisfaction towards the model was also evaluated from patient's perspective. Hundred and four medical records were reviewed to evaluate the change in patients' metabolic control and the progression of diabetic complications after being referred out. Among the reviewed cases, twenty subjects were recruited for subsequent interview to explore their experience and satisfaction towards the diabetes shared care program. Results showed that this model of care was as effective as conventional hospital clinic care in maintaining standards of metabolic control and monitoring the progression of diabetic complications with minimal clinically non-significant change with mild deterioration in glycaemic level as well as improvement of blood pressure and cholesterol level. Relationship with health care providers, clinic environment and arrangement, accessibility, type of investigations ordered and availability of diabetes education were also identified as factors that affect patients' satisfaction towards the shared care model. Further evaluation of the model is suggested to look into its cost-effectiveness, while multi-centred randomized controlled study will also facilitate the generalization of findings. As a result of such collaboration, the standard of diabetes care at both tertiary and primary level will be improved resulting in a reduction in mortality as well as morbidity. Health care providers should further expand its application on the concept of integrated care for people with diabetes as well as other chronic illnesses.

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