Abstract
This research aimed to evaluate effective coverage in the prevention, control and treatment of type 2 diabetes, a case study from Dansai Hospital, Dansai District, Loei Province. Firstly, the diabetes longitudinal database was created to keep track of the population and patients. Secondly, the effective coverage of type 2 diabetes care was evaluated in three dimensions, including health needs, utilization and quality of care. In addition, the diabetes screening survey was conducted to find diabetes patients who did not take part in diabetes screening project in 2016 and were not yet registered in the diabetes treatment system. The purpose of this survey was to investigate the exact prevalence of type 2 diabetes in the catchment area of Dansai Hospital. . This study used quantitative research technique involving primary and secondary data. Primary data was taken from the survey to find diabetes patients from 3,214 samples. Secondary data was taken from Health Data Center and 43 Health Data Standard datasets of the Ministry of Public Health from 2014 to 2016. The criteria used for diagnosing diabetes were Hemoglobin A1c (HbA1c<7%) and Fasting Blood Sugar (FBS = 70 to 130 mg/dl). The results showed that the diabetes longitudinal database consisting of population, screening, treatment database and effective coverage results in My SQL format could be used for surveillance of 23,333 people and keep track of diabetes patients. In 2014, 2015 and 2016, 45.4%, 46.0% and 44.9% of total population aged 30-59 years, respectively. Moreover, in this 3-year period, the percentage of screening was 85.9%, 88.1% and 89.5%, respectively. This figure was 3.4% higher than it was in Loei Province, 0.6% lower than it was in Health Eight Region, and 15.5% higher than it was for the whole country. The diagnosed diabetes patients that received the treatment were 93.7%, 91.1% and 93.4%. 45.4%, 34.1% and 31.9% of the patients were able to control HbA1c. 40.5%, 41.8% and 38.0% of the patients were able to control FBS for 2 times. Moreover, the effective coverage in HbA1c condition was 31.9%, 23.6% and 23.1%; while 32.6%, 33.5% and 31.7% in the FBS condition. According to the diabetes screening survey, 33 persons with risk for type 2 diabetes were found which accounted for 1.2 % of the sample. Moreover, the risk group needs to have a re-check at the hospital to confirm the level of blood sugar. If 33 persons were diabetes patients, the prevalence would be 11 patients per 100 populations.
