Document Detail


Economic analysis of the diabetes and hypertension screening collaboration between community pharmacies and a Thai government primary care unit.
MedLine Citation:
PMID:  20558122     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To evaluate models for collaboration between community pharmacies and a government primary care unit (PCU) in carrying out a screening program for diabetes and hypertension.
METHODS: An action research was undertaken and a screening and referring protocol developed. Study sites were two community pharmacies (Model 1) and footpaths/streets and seven communities (Model 2) under supervision of PCU in the city of Maha Sarakham Province, Thailand. The Combined Model consisted of Models 1 and 2. Those eligible were aged 40 years and over, not known to have diabetes or hypertension. Activity based costing of three models was analyzed from the provider perspective.
RESULTS: The study involved 456 people during July-September 2007; 11 out of 51 attending pharmacies (21.6%) and 27 out of 405 attending the communities (6.6%) met criteria for referral to PCU for confirmatory diagnosis. Only six attended the PCU. Two of 456 (0.4%) were confirmed the diagnosis having hypertension, one was referred from a pharmacy (2%, 1/51) the other from a community (0.2%, 1/405). Model unit costs were US$ 11.2, 4.3 and 5.1 per screened person, respectively.
CONCLUSIONS: The results indicate a working model can identify people in the community requiring treatment of hypertension or diabetes. Pharmacy-based screening was more costly, but the success rate for referral was higher compared with a community-based service. More effort is needed to ensure referred patients attend the PCU.
Authors:
Phayom Sookaneknun; Kritsanee Saramunee; Ruchilak Rattarom; Suratchada Kongsri; Ratana Senanok; Pongpan Pinitkit; Wathana Sawangsri; Bhudtharat Deesin
Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-06-16
Journal Detail:
Title:  Primary care diabetes     Volume:  4     ISSN:  1878-0210     ISO Abbreviation:  Prim Care Diabetes     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-27     Completed Date:  2011-01-20     Revised Date:  2012-10-17    
Medline Journal Info:
Nlm Unique ID:  101463825     Medline TA:  Prim Care Diabetes     Country:  England    
Other Details:
Languages:  eng     Pagination:  155-64     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Primary Care Diabetes Europe. All rights reserved.
Affiliation:
Primary Care Practice Research Unit, Faculty of Pharmacy, Mahasarakham University, Maha Sarakham Province 44150, Thailand. psookane@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Community Pharmacy Services / economics*
Cooperative Behavior*
Cost-Benefit Analysis
Diabetes Mellitus / diagnosis*,  economics
Female
Government Programs / economics*
Health Care Costs
Humans
Hypertension / diagnosis*,  economics
Interinstitutional Relations*
Male
Mass Screening / economics*
Middle Aged
Models, Economic
Patient Acceptance of Health Care
Primary Health Care / economics*
Program Evaluation
Referral and Consultation / economics
Thailand

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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