Accessible Strategy of the Registration & Management of Hypertension and Diabetes Mellitus Patients through the Public-Private Partnership: Policy Implications Fron the Hongcheon-gun Case

Abstract

<Abstract>Objectives: This study aimed to share with experiences of a demonstration program based on a community for prevention and management of hypertension and diabetes mellitus, and to supply the evidence of accessible strategies within the community through the public-private partnershipin the near future. Methods: This study case was "the program of registration and management of hypertension and diabetes mellitus patients" which was conducted in Hogncheon-gun in Gangwon-province, 2012. Results: The infrastructure of this center was constructed with the public-private sector partnership according to the basic model of demonstration program since November, 2012. So, the total registered rate of hypertension and diabetes mellitus patients were 26.6% in comparison with suspected patients (to the result of 2011 Korea National Health and Nutrition Examination Survey), 37.8% in comparison with the real number of outpatient (to the claims data of 2011 Branch Honcheon-gun, National Health Insurance Corporation), and 107.8% in comparison with the project goal, sequentially. To the patients who were not treated for 30 and 60 days among the registered patients, a recall service was conducted. Through this intervention, it was monitored that this program has enhanced the consecutive treatment rate of the registered patients. Conclusions: To improve the continuous management of hypertension and diabetes mellitus patients, we are gotten to know that the community need the joint participation and mutual cooperation with public-private sector partnership.

Associations of Sarcopenia and Sarcopenic Obesity With Metabolic Syndrome Considering Both Muscle Mass and Muscle Strength

“…Community-based health services in Korea include the registration and management of hypertension and diabetes mellitus patients, maternal and pediatric health care, mental health care, home visits by health care providers, the management of infectious diseases, health promotion, and metabolic syndrome services [ 1 ]. The aim of the registration and management of hypertension and diabetes mellitus patients is to reduce mortality by increasing the control rate of hypertension and diabetes [ 2 ]. However, the hypertension control rate in Korea has been at a standstill since 2007 [ 3 ].…”

Public–Private Partnership: Participants’ Experiences of the Web-Based Registration-and-Management System for Patients with Hypertension and Diabetes Mellitus

“…As shown by the results of the frequency analysis and interviews regarding the participants' experiences of the hypertension-and-diabetes-mellitus registration-and-management system, an increase in the number of patients' visits to their medical centers, drugadministration-compliance improvements, the maintenance of treatment continuity, the improvements in blood-pressure and blood-glucose control, improved mutual relationships with patients, and increases in patients' interest in diseases were commonly observed [11,15,19]. The Elderly Healthcare Voucher Scheme has been performed in Hong Kong since 2009, increasing private primary-healthcare-service utilization [10].…”

“…This project provided various benefits for the patients, such as the support for the treatment fees and drug costs but not for the participating medical centers. Therefore, encouraging long-term participation in the project and PPP may be difficult [11,19].…”

Prioritizing Community-Based Intervention Programs for Improving Treatment Compliance of Patients with Chronic Diseases: Applying an Analytic Hierarchy Process

“…Our researchers, who had participated in the planning and evaluating Hongcheon-gun Hypertension and Diabetes Registration and Education Program for the past eight years [ 78 , 79 ], finally selected two opposing views of community-based intervention programs as policy alternatives to the AHP evaluation model that faced new challenges amid drastic changes in health policies in Korea. Unlike other AHP studies [ 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 ], this study largely had a three-step mixed process.…”

“…As seen in result of this research, “the voluntary participation level of community resident” within program infrastructure as (public health system) domain was found to be important. Moreover, considering the “participation of private clinic and pharmacy,” which is the basic model for hypertension and diabetes registration and management assumed as precondition, an association with community resources (retired senior community health volunteers in case of Hongcheon-gun) [ 78 ] through establishment and utilization of public-private partnership within a community, is required for improving the efficiency in relation to program performance. At any rate, community-based intervention health programs with public-private partnership should be actively considered rather than unilateral projects led by the government or insurers to improve patients’ treatment compliance in the case of chronic disease management with CCM.…”