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Epidemiological transition in type 2 diabetes mellitus: the role and function of a sub-district health promoting hospital

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Abstract

Health authorities in Thailand implemented a policy especially to cope with chronic diseases in that they transformed former health stations into sub-district health promoting hospitals (SHPH). The “top down” measure left the staff of the SHPH somewhat confused and uncertain how to manage their duties effectively. One of the weak points was the questionable outreach of care into the community. In an attempt to demonstrate how to enhance community participation, one SHPH was selected and assisted in improving the care of type 2 diabetes mellitus (T2DM) patients. Patients from another SHPH served as controls. The combined efforts of patients, their families, SHPH staff, and the community with the help of village health workers succeeded in improving the control of T2DM in that a steady decline in capillary blood glucose (CBG) could be observed and the results could also be verified by the determination of glycated hemoglobin (HbA1c).

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References

  1. Popkin BM. An overview on the nutrition transition and its health implications: the Bellagio meeting. Public Health Nutr. 2002;5(1A):93–103.

    Article  PubMed  Google Scholar 

  2. Aekplakorn W, Stolk RP, Neal B, Suriyawongpaisal P, Chongsuvivatwong V, Cheepudomwit S, et al. The prevalence and management of diabetes in Thai adults: the international collaborative study of cardiovascular disease in Asia. Diabetes Care. 2003;26(10):2758–63.

    Article  PubMed  Google Scholar 

  3. Aekplakorn W, Hogan MC, Chongsuvivatwong V, Tatsanavivat P, Chariyalertsak S, Boonthum A, et al. Trends in obesity and associations with education and urban or rural residence in Thailand. Obesity (Silver Spring). 2007;15(12):3113–21.

    Article  Google Scholar 

  4. Bureau of Policy and Strategy. Health policy in Thailand 2009. Ministry of Public Health Thailand. 2009. http://bps.ops.moph.go.th/webenglish/HealthPolicy6.pdf Retrieved 26.3.2013.

  5. Diabetes Association of Thailand. Diabetes clinical practice guideline. Bangkok: Ministry of Public Health; 2011.

    Google Scholar 

  6. Vickers AJ. The use of percentage change from baseline as an outcome in a controlled trial is statistically inefficient: a simulation study. BMC Med Res Methodol. 2001;1:6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Kanchanachitra C, Podhisita C, Archavanitku K, Chamchan C, Siriratmongkol K, Tipsuk P, et al. Thaihealth 2011: HIA: a mechanism for healthy public policy. Mahidol University: Nakhon Pathom: Institute for Population and Social Research; 2011.

    Google Scholar 

  8. Prakongsai P, Limwattananon S, Tangcharoensathien V. The equity impact of the universal coverage policy: lessons from Thailand. In: Dov Chernichovsky, Kara Hanson editors. Innovations in Health System Finance in Developing and Transitional Economies (Advances in Health Economics and Health Services Research). 2009;21:57–81.

    Google Scholar 

  9. Supawong C et al. Health Prornotlng Tambol Hand Book. 3rd ed. Bangkok: War Veterans Organization of Thailand; 2009.

    Google Scholar 

  10. Srivanichakorn S, Sukpordee N, Yana T, Sachchaisuriya P, Schelp FP. Health status of diabetes type 2 patients in Thailand contradicts their perception and admitted compliance. PrimCare Diabetes. 2011;5(3):195–201.

    Google Scholar 

  11. Leerapan P, Kengganpanich T, Sompopcharoen M. Core competencies to prevent and control chronic diseases of Tambol Health Centers’ head in Thailand. J Med Assoc Thail. 2012;95(Suppl 6):S38–47.

    Google Scholar 

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Acknowledgments

The authors thank the Ubonratchathani Provincial Health Office for granting the researchers opportunities to collect data and to test effectiveness of the project. The authors thank Assist. Prof. Dr. Wutti Leenam, Mr.Ronald O’Keefe, and Mr.Radu Tomescu for English language editing.

Competing interests

The authors have no financial or personal relationship with other people or organizations that could inappropriately influence their work.

Authors’ contribution

Songkramchai Leethongdee assisted in the layout of the study. Pissamai Homchampa assisted in the layout of the study. FPS assisted in the layout of the study and writing the manuscript.

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Authors and Affiliations

  1. Faculty of Public Health, Mahasarakham University, Maha Sarakham, 44150s, Thailand

    Jurairat Srisiri & Songkramchai Leethongdee

  2. Faculty of Medicine, Mahasarakham University, Maha Sarakham, 44150, Thailand

    Pissamai Homchampa

  3. Faculty of Public Health, Khon Kaen University, Khon Kaen, 40002, Thailand

    Frank Peter Schelp

Authors
  1. Jurairat Srisiri
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  2. Songkramchai Leethongdee
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  3. Pissamai Homchampa
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  4. Frank Peter Schelp
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Correspondence to Jurairat Srisiri.

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Srisiri, J., Leethongdee, S., Homchampa, P. et al. Epidemiological transition in type 2 diabetes mellitus: the role and function of a sub-district health promoting hospital. Int J Diabetes Dev Ctries 37, 160–164 (2017). https://doi.org/10.1007/s13410-015-0440-y

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  • DOI: https://doi.org/10.1007/s13410-015-0440-y

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