A comparative study of the results of controlling the Non-communicable diseases by Bansadej Network Primary Care Unit in Bansadej Subdistrict Health Promoting Hospital Nikom 16 Subdistrict Health Promoting Hospital and Saithong Subdistrict Health Promoting Hospital, Amphoe Mueang Lampang Province

Abstract

Objective : To study and compare the outcomes of Non-communicable disease control in Diabetic and Hypertensive patients of Bansadej Subdistric Health Promoting Hospital, Nikom16 Subdistric Health Promoting Hospital, and Saithong Subdistric Health Promoting Hospital under the responsibility of the Family care team of Bansadej Network Primary Care Unit.

Methods : This research is a cross-sectional analytical study design by collecting data from diabetic and hypertensive patients in the 3 SHPH who underwent annual check up from October 2023 to January 2024, totaling 944 patients. General informations  and treatment outcomes data, including Fasting Blood Sugar , HbA1c, Blood Pressure and colors of Vichai’s 7 Colors Ball Model were analyzed by descriptive statistics.The differences in treatment outcomes among the 3 SHPH were analyzed by using One-way ANOVA and Bonferroni test.

Results : The diabetes control showed mean fasting blood sugar (FBS) values ranging between 91 (33.32) to 96 (25.83), which is considered well-controlled. However, the mean glycated hemoglobin (HbA1c) values were found to be above 7 % but not exceeding 8 % in all 3 SHPH, which is acceptable for elderly patients. Regarding to the hypertension control  using the Vichai’s 7 Colors Ball Modes , it was found that the majority were  green color, indicating well-controlled. Upon the inferential statistical analysis, it was found that Bansadej SHPH had better diabetes control than Saithong SHPH with statistical significance (p=0.002). When testing the mean systolic blood pressure (SBP) values, it was found that Bansadej SHPH  had better control than Nikom16, and Saithong SHPH had better control than Nikom16 SHPH with statistical significance (p=0.001) and (p=0.019) respectively. However, there were no statistically significant differences of the mean fasting blood sugar (FBS) and diastolic blood pressure (DBP) values  among all 3 SHPH.

Conclusion : The results of diabetes and hypertension control in all 3 SHPH showed good and acceptable level. However, differences were found  in-depth with inferential statistical analysis. Despite receiving treatment from the same Family Care Team (FCT), there should be efforts to develop and improve new service models in the future to ensure efficiency and equity in the Network Primary Care Unit (NPCU) system.