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Improving services for chronic non-communicable diseases in Samoa: an implementation research study using the care cascade framework.

التفاصيل البيبلوغرافية
العنوان: Improving services for chronic non-communicable diseases in Samoa: an implementation research study using the care cascade framework.
المؤلفون: Fraser-Hurt N; The World Bank Group, Washington DC, USA., Naseri LT; Ministry of Health of the Government of Samoa., Thomsen R; Ministry of Health of the Government of Samoa., Matalavea A; Ministry of Health of the Government of Samoa., Ieremia-Faasili V; Ministry of Health of the Government of Samoa., Reupena MS; Lutia I Puava Ae Mapu I Fagalele, Samoa., Hawley NL; Department of Chronic Disease Epidemiology, Yale School of Public Health, USA., Pomer A; Department of Chronic Disease Epidemiology, Yale School of Public Health, USA., Rivara AC; Department of Chronic Disease Epidemiology, Yale School of Public Health, USA., Obure DC; The World Bank Group, Washington DC, USA., Zhang S; The World Bank Group, Washington DC, USA.
المصدر: Australian and New Zealand journal of public health [Aust N Z J Public Health] 2022 Feb; Vol. 46 (1), pp. 36-45. Date of Electronic Publication: 2021 Jul 26.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: Australia NLM ID: 9611095 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1753-6405 (Electronic) Linking ISSN: 13260200 NLM ISO Abbreviation: Aust N Z J Public Health Subsets: MEDLINE
أسماء مطبوعة: Publication: 2023- : [New York] : Elsevier
Original Publication: Canberra, ACT : Public Health Association of Australia, [1996-
مواضيع طبية MeSH: Hypertension*/diagnosis , Hypertension*/epidemiology , Hypertension*/therapy , Noncommunicable Diseases*/epidemiology , Noncommunicable Diseases*/therapy, Continuity of Patient Care ; Focus Groups ; Government Programs ; Humans
مستخلص: Objective: Samoa needs to intensify the response to the growing non-communicable disease burden. This study aimed to assess bottlenecks in the care continuum and identify possible solutions.
Methods: The mixed-methods study used the cascade framework as an analysis tool and hypertension as a tracer condition for chronic non-communicable diseases. Household survey data were integrated with medical record data of hypertension patients and results from focus group discussions with patients and healthcare providers.
Results: Hypertension prevalence was 38.1% but only 4.7% of hypertensive individuals had controlled blood pressure. There were large gaps in the care continuum especially at screening and referral due to multiple socio-cultural, economic and service delivery constraints.
Conclusions: In Samoa, care for chronic non-communicable diseases is not effectively addressing patient needs. This calls for better health communication, demand creation, treatment support, nutritional interventions and health service redesign, with a focus on primary healthcare and effective patient and community engagement. Implications for public health: The proposed actions can improve the reach, accessibility, quality and effectiveness of Samoa's chronic care services. Health system redesign is necessary to ensure continuity of care and more effective primary prevention. The findings are useful for other countries in the region facing similar challenges.
(© 2021 The Authors.)
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معلومات مُعتمدة: World Bank
فهرسة مساهمة: Keywords: Pacific Island Countries; care cascade; chronic care models; non-communicable diseases; primary healthcare
تواريخ الأحداث: Date Created: 20210726 Date Completed: 20220210 Latest Revision: 20220210
رمز التحديث: 20221213
DOI: 10.1111/1753-6405.13113
PMID: 34309937
قاعدة البيانات: MEDLINE
الوصف
تدمد:1753-6405
DOI:10.1111/1753-6405.13113