Effectiveness of a Home Treatment Program on Patients with Type 2 Diabetes Mellitus in Khao Chakan Hospital
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Abstract
BACKGROUND: Chronic noncommunicable diseases are the most important global public health burden. From the overwhelming number of patients in hospital outpatient services, especially during the outbreak of the Coronavirus disease 2019 (COVID-19), the health service network in Khao Chakan district, Sa Kaeo province, Thailand developed a home treatment program for patients with type 2 diabetes mellitus (DM) to reduce the patient transfer and exposure, while maintaining the quality of medical care.
OBJECTIVE: To study the effectiveness of a home treatment program on the change of the blood sugar level, weight, waist circumference, and mean arterial blood pressure in patients with type 2 DM in Khao Chakan Hospital.
METHODS: The survey study included patients with type 2 DM in Khao Chakan district whose medications were home-delivered without an outpatient visit between April 1 to December 31, 2020. We compared the change of the blood sugar level, weight, waist circumference, and mean arterial blood pressure between the patients who voluntarily participated in the home treatment program and the patients who declined the program, and conducted a comparison before and after the home treatment program.
RESULTS: Nine hundred and fifty-one patients participated in the home treatment program, and 242 patients declined the program. Patients who participated in the program had a significantly lower change of blood sugar level and mean arterial blood pressure compared to those patients who did not (10.4 mg/dL and 1.8 mmHg, respectively; p<0.05). Furthermore, the outcomes were not different before and after the home treatment program in both groups.
CONCLUSIONS: The home treatment program was as effective as a routine outpatient hospital visit, and resulted in a lower change of the blood sugar level and mean arterial blood pressure compared to those who did not participate in the program.
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