Abstract | INTRODUCTION: The Comprehensive Chronic Care Programme ( CCCP) is an intensified programme designed to provide comprehensive care for the management of diabetes mellitus, hypertension and hyperlipidaemia at a primary healthcare setting. A formative study was done to evaluate the effectiveness of the CCCP compared to the normal polyclinic management of diabetes mellitus. MATERIALS AND METHODS: Control of diabetes (HbA1c) and hypertension (blood pressure) in 63 diabetic patients of a pilot CCCP was compared with 100 diabetic patients not on the programme (non- CCCP) after a 6-month follow-up. Paired t-tests were conducted for differences in mean HbA1c values between baseline and after 6 months. The H-rank test was applied to check for significant differences in change categories of hypertension control between CCCP and non- CCCP cases. RESULTS: In the CCCP group, there was a two-point decrease in HbA1c after 6 months and 65.1% of the patients showed improvement. The proportion of patients achieving optimal diabetic control increased from 9.5% to 36.5%. Conversely, there was deterioration in the non- CCCP group with decrease in the proportion of patients achieving optimal diabetic control from 31% to 21%. Of the hypertensive patients in the CCCP group, 54.5% showed an improvement in blood pressure (BP) control while 44% of the non- CCCP group showed improvement at 6 months. CONCLUSIONS:
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Authors | F S Lim, M P H S Toh, S C Emmanuel, S P Chan, G Lim |
Journal | Annals of the Academy of Medicine, Singapore
(Ann Acad Med Singap)
Vol. 31
Issue 4
Pg. 431-9
(Jul 2002)
ISSN: 0304-4602 [Print] Singapore |
PMID | 12161877
(Publication Type: Journal Article)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Chronic Disease
- Comprehensive Health Care
(organization & administration)
- Diabetes Mellitus
(therapy)
- Disease Management
- Female
- Follow-Up Studies
- Humans
- Hypertension
(therapy)
- Male
- Middle Aged
- Outcome Assessment, Health Care
- Primary Health Care
(organization & administration)
- Program Evaluation
- Time Factors
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