Effect of the Community-Based Chronic Disease Management Service Using Information and Communication Technology
10.5393/JAMCH.2024.49.3.257
- Author:
Eun Jin PARK
1
;
Yun Su LEE
;
Tae Yon KIM
;
Seung Hee YOO
;
Hye Ran JIN
;
Noor Afif MAHMUDAH
;
MinSu OCK
;
Tae-Yoon HWANG
;
Yeong Mi KIM
;
Jung Jeung LEE
Author Information
1. Daegu Citizen Health Support Center
- Publication Type:Original Articles
- From:Journal of Agricultural Medicine & Community Health
2024;49(3):257-270
- CountryRepublic of Korea
- Language:English
-
Abstract:
Objective:This study aimed to empirically evaluate the effectiveness of chronic disease management services utilizing ICT for patients with chronic illnesses.
Methods:From May to December, 2023, 452 people who were diagnosed with hypertension and diabetes at 9 participating public health centers were provided with customized health care services for 24 weeks, and 15 performance indicators were analyzed to evaluate their effectiveness.
Results:Health behavior indicators and health risk factors decreased before and after participation in the project, blood pressure control rate, hypertension and diabetes management rate, medication compliance, weight, BMI, BP, WC, FBG, and HDL-cholesterol improved(p<0.001).Service factors that influence the improvement of health behaviors included the number of activity monitor transmissions(p=0.049), confirmed concentrated consultations on physical activity(p=0.003) and nutrition(p=0.005), and the adherence to medication missions for hypertension(p=0.020).As for service factors influencing chronic disease management, the improvement in blood pressure regulation rate was due to the number of times the blood pressure monitor was linked(p=0.004), and the number of confirmed intensive consultations on physical activity(p=0.026), and nutrition(p=0.049); the improvement in hypertension control rate was due to the number of times the activity monitor and blood pressure monitor were linked(p<0.001), and the number of hypertension medication missions carried out (p=0.004); and the improvement in diabetes control rate was due to the number of times the blood pressure monitor(p=0.022) and blood sugar system were linked(p=0.017).
Conclusion:Although this study has limitations as a comparative study before and after the service, it has proved that chronic disease management using ICT has a positive effect on improvement of health behavior indicator, reduction of health risk factors, hypertension, diabetes management index, weight, BMI, TG, BP, FBG improvement.
