Optimising care for adult patients with type 2 diabetes or primary hypertension Nutritional, Metabolic, Endocrine
Conditions
Interventions
The project is an interventional study conducted in three counties in Jiangsu Province, China. The selection of intervention and control groups is done by the local (township level) health bureaus. Th
Sponsors
Nanjing Medical University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Diagnosed with type 2 diabetes (FBG =7.0 mmol/l, and/or 2hPBG =11.1 mmol/l) or primary hypertension (SBP =140mmHg, and/or DBP =90mmHg) and has been on medications for more than one month 2. Aged 35-75 3. Lived in the intervention/control areas for more than two years (no records of moving within the last year) 4. Has no plan of moving from the intervention/control areas or no long-term travelling plans (more than one year) 5.Has his/her records on the chronic disease management information system of township health center or village clinic, and has accepted the chronic disease service provided by township health center or village clinic 6. Willing to participate in this project and has a preferable compliance, cognition and receptivity
Exclusion criteria
Exclusion criteria: 1. Has serious complications of diabetes or hypertension (for example, diabetic foot III/IV, diabetic retinopathy IV or higher, diabetic nephropathy IV/V, hypertension III) 2. Has been diagnosed with secondary hypertension 3. Has been diagnosed with any other serious disease, such as terminal stages of cancer, AIDS, etc 4. Pregnant women or patients with psychiatric problems
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| For patients: 1. Physiological measures (blood glucose/glycosylated haemoglobin (HbAlC)/blood pressure), collected during the medical examination 2. Health status, measured using the generic health-related quality of life instrument EQ-5D 3. Satisfaction with health services, health insurance, understanding of diabetes, health seeking behaviour and patients’ out-of-pocket costs of care, assessed using a questionnaire Measured at baseline and follow-up (12 months after start of intervention) | — |
Secondary
| Measure | Time frame |
|---|---|
| For healthcare professionals: 1. Knowledge about the current epidemiological situation of chronic disease in their own village, assessed through a knowledge test 2. The general procedure of diagnosing and registering chronic disease, assessed through in-depth interviews 3. The chronic disease management situation before and after intervention, assessed through in-depth interviews 4. Their general perceptions about the intervention, assessed through in-depth interviews Measured at baseline and follow-up (12 months after start of intervention) | — |
Countries
China
Outcome results
None listed