Evaluation of the implementation of integrated primary care for patients with type 2 diabetes and hypertension in Belgium, Cambodia, and Slovenia

Stojnić, Nataša (avtor), Martens, Monika (avtor), Wouters, Edwin (avtor), Chham, Savina (avtor), Van Olmen, Josefien (avtor), Danhieux, Katrien (avtor), Ružić Gorenjec, Nina (avtor), Ir, Por (avtor), Poplas-Susič, Tonka (avtor), Klemenc-Ketiš, Zalika (avtor)

Introduction: Integrated care of chronic patients improves quality of their management, but there is scarce evidence of its implementation in different healthcare settings. With this article, we wanted to determine the level of integrated care implementation in the management of T2D (diabetes) and HT (hypertension) in three different settings: Belgium, Slovenia, and Cambodia. Methods: This was an observational study with integrated approach. It was conducted in primary health care organisations in three countries. In each primary health care organisation, we aimed to include primary care workers that worked with Type 2 Diabetes (T2D) and hypertension (HT) patients. Data was collected with the Integrated Care Package (ICP) grid (consisting of six elements: identification, treatment, health education, self-management, caregiver collaboration, and care organisation). Results: ICP is almost completely implemented without major differences within Slovenia. There is a considerable variability across practice types in Belgium. Implementation is constrained by health system resources in Cambodia. Some elements, especially identification, are better implemented then others, across health systems. Conclusion: Countries can enhance integrated care for chronic diseases by implementing central policies, standardized protocols, and local adaptation, addressing resource constraints, promoting systematic screening and health education, and providing training for healthcare workers, tailored to community needs, to improve patient outcomes and healthcare delivery.

• Jezik: Angleški jezik
• Ključne besede: integrated care package, primary care, cross country comparison, diabetes, hypertension
• Vrsta gradiva: Članek v reviji
• Tipologija: 1.01 - Izvirni znanstveni članek
• Organizacija: MF - Medicinska fakulteta
• Status publikacije: Objavljeno
• Različica publikacije: Objavljena publikacija
• Leto izida: 2024
• Št. strani: 12 str.
• Številčenje: Vol. 24, iss. 2, art. 27
• PID: 20.500.12556/RUL-182410
• UDK: 616.379
• ISSN pri članku: 1568-4156
• DOI: 10.5334/ijic.7664
• COBISS.SI-ID: 203708163
• Datum objave v RUL: 11.05.2026

Gradivo je del revije

• Naslov: International journal of integrated care
• Založnik: Ubiquity Press
• ISSN: 1568-4156
• COBISS.SI-ID: 517928217

Licence

• Licenca: CC BY 4.0, Creative Commons Priznanje avtorstva 4.0 Mednarodna
• Povezava: http://creativecommons.org/licenses/by/4.0/deed.sl
• Opis: To je standardna licenca Creative Commons, ki daje uporabnikom največ možnosti za nadaljnjo uporabo dela, pri čemer morajo navesti avtorja.

Sekundarni jezik

• Jezik: Slovenski jezik
• Ključne besede: arterijska hipertenzija, zdravstvena nega, primerjave, sladkorna bolezen, tip 2, Belgija, Kambodža, Slovenija

Projekti

• Financer: EC - European Commission
• Program financ.: H2020
• Številka projekta: 825432
• Naslov: SCale Up an integrated care package for diaBetes and hYpertension for vulnerable people in Cambodia, Slovenia and Belgium
• Akronim: SCUBY