ACCORDING TO THE PRINCIPLES OF FAMILY MEDICINE AT 03 COMMUNITY HEALTH STATIONS

Uyên Nguyễn Thị Tố , Phong Nông Tuấn, Lam Mã Hồng, Bạch Bế Thị, Anh Nguyễn Quỳnh, Hiền Lục Thị, Hiền Lục Thị

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Abstract

Introduction: Managing non-communicable diseases (NCDs) such as hypertension (HTN) and diabetes mellitus (DM) is a major challenge, especially in mountainous areas. This study evaluates the effectiveness of the family medicine model in managing HTN and DM in Cao Bang Province. Methods: The study was conducted at three commune health stations from January to May 2024, using a community intervention approach with pre- and post-intervention evaluations. Results: After the intervention, the percentage of patients aware of their blood pressure and blood glucose levels increased to 100% and 90.9%, respectively. The rates of continuous follow-up and achieving target blood pressure significantly improved (99.5% and 61.6%, respectively). The percentage of diabetic patients achieving target blood glucose increased from 22.7% to 63.6%, with p < 0.001. Conclusion: The family medicine model has enhanced the management of HTN and DM patients in Cao Bằng.

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References

1. Starfield, B., Shi, L., & Macinko, J. (2005). Contribution of primary care to health systems and health. Milbank Quarterly, 83(3), 457-502.
2. World Health Organization (WHO). (2013). Global action plan for the prevention and control of NCDs 2013-2020. WHO.
3. Bộ Y tế Việt Nam (2020). Đề án Phát triển Y học Gia đình ở Việt Nam giai đoạn 2020 - 2030.
4. Trung tâm Y tế huyện Cao Bằng (2022). Báo cáo kết quả mô hình quản lý bệnh không lây nhiễm tại các trạm y tế xã/phường.
5. Cummings, S. M., & Johnson, J. (2016). Effectiveness of family medicine models in chronic disease management: A systematic review. American Journal of Public Health, 106(6), 1069-1076.
6. Nguyen, T. L., et al. (2018). Improving primary health care delivery in rural Vietnam through family medicine: A review of challenges and opportunities. Vietnam Journal of Medical Research, 37(2), 153-160.
7. Nguyen, M. T., et al. (2020). Challenges in chronic disease management in rural Vietnam: A case study of hypertension and diabetes. International Journal of Health Policy and Management, 9(5), 213-219.
8. Patel, P. D., et al. (2017). Increasing health awareness and self-management in chronic disease: A study of community-based intervention programs. Journal of Family Medicine, 12(4), 420-426
9. Bộ Y tế (2018). Quyết định 2559/QĐ-BYT về kế hoạch tăng cường thực hiện điều trị, quản lý tăng huyết áp và đái tháo đường theo nguyên lý y học gia đình tại các trạm y tế xã, phường, thị trấn giai đoạn 2018-2020. Hà Nội: Bộ Y tế
10. Nguyễn Thị Thuý Hiếu, Hiệu quả quản lý điều trị bệnh tăng huyết áp của trạm y tế hoạt động theo nguyên lý y học gia đình tại Hải Phòng, in Y tế công cộng. 2021, Trường Đại học Y Dược Hải Phòng: Hải Phòng.