Alireza Mirahmadizadeh; Mehdi Sharafi; Abdollah Azizi; Mozhgan Seif
Abstract
Background: It is estimated that in 2025, the cost of diabetes will account for 40% of total health spending. In Iran, 4.5 to 5 million people are afflicted with diabetes, and its prevalence has doubled during the past three decades. The aim of this study was to determine the function and preparedness ...
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Background: It is estimated that in 2025, the cost of diabetes will account for 40% of total health spending. In Iran, 4.5 to 5 million people are afflicted with diabetes, and its prevalence has doubled during the past three decades. The aim of this study was to determine the function and preparedness of diabetes surveillance system in Iran.Methods: In this cross-sectional study, all managers, health policymakers and experts of diabetes(N:125) entered the study and completed a questionnaire on the existence and implementation of the surveillance system domains (from data collection to evaluation) and the relationship between domains of this system and their function. The descriptive statistical method, path analysis, was employed using Amos.Results: A ccording t o m anager’s v iewpoint, t he r ange o f existence and implementation of all domains of surveillance system were 12% to 68.7% in average. They believed that 10-69% of domains of surveillance system were working properly. Most of respondents (59-87%) declared that investing in diabetes at different levels of prevention was less than expected. Satisfaction with both diabetes surveillance system function and diabetic patients was low and they don’t have a good and bright future for diabetes and its various aspects. By modeling analytical structural equations, some components of surveillance system were moderately worked together.Conclusion: we conclude that we must first formulate and prepare a standard surveillance system as well as train the relevant personnel and make clear changes in the existing care system. With the current surveillance system, we have a long way to go to prevent and control diabetes to an acceptable the average level of performance of the care system is lower than expected
Seyedeh-Masomeh Derakhshandeh-Rishehri; Khosro Keshavarz; Delaram Ghodsi; Gholamreza Pishdad; Shiva Faghih
Abstract
Background: Education is the most important principle in managing diseases, especially diabetes. On the other hand, economic burden of diabetes is another important issue. Thus, this study aimed to compare the cost-effectiveness of group vs. Weblog-Telecommunication (Web-Tel) nutrition education on glycemic, ...
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Background: Education is the most important principle in managing diseases, especially diabetes. On the other hand, economic burden of diabetes is another important issue. Thus, this study aimed to compare the cost-effectiveness of group vs. Weblog-Telecommunication (Web-Tel) nutrition education on glycemic, lipids, blood pressure, and anthropometric indices of type-2 diabetic patients.Methods: This randomized controlled trial study will be conducted in health centers of Bushehr city. One-hundred five patients with type 2 diabetes will randomly be assigned to one of the three groups: group education, Web-Tel education, and the control. The study has two phases. The first phase (or preintervention phase) will last two weeks and the second phase (or intervention phase) 12 weeks. In group education, in addition to the usual cares, the participants will receive group seminars monthly (3 seminars in total), while the Web-Tel group will receive education via website monthly (3 sessions in total) besides the usual cares, and the control group will receive the usual cares. The outcomes include glycemic, lipids, blood pressure, and anthropometric indices. Also, the cost of each arm will be calculated.Conclusion: The present study will compare the two methods of nutrition education to determine the more cost-effective nutrition education method for patients with diabetes which can help them in self-care and costs reduction.
Haleh Ghaem; Atousa Fakherpour; Mahmoud Hajipour; Mohsen Shafiee
Volume 4, Issue 3 , July 2016, , Pages 129-136
Abstract
Background: Today, the quality of life (QoL) studies have an important role in public health care, especially among the old adults suffering from chronic diseases such as diabetes. Diabetes and its complications can widely affect various aspects of QoL. Therefore, the present study aimed to assess diabetic ...
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Background: Today, the quality of life (QoL) studies have an important role in public health care, especially among the old adults suffering from chronic diseases such as diabetes. Diabetes and its complications can widely affect various aspects of QoL. Therefore, the present study aimed to assess diabetic patients’ QoL and identify the factors that affect it. Methods: A cross-sectional study was conducted on 593 randomly selected diabetic patients aged 60 years and above who were admitted in 13 diabetes clinics in Shiraz, Iran, in 2014. Diabetes Quality of Life-Brief Clinical Inventory (DQOL-BCI) questionnaire was used to assess the quality of life in these patients. Univariate and multivariate linear regression analyses were performed, using Stata software, version 12, to identify the predictors of DQoL. Results: The participants’ mean DQoL score was 41.8±6.2 with a mean age of 66.2±6.0 years. Multivariate linear regression analyses revealed that FBS level (115-180 mg/dL: P=0.05; above 180 mg/dL: P=0.02) and duration of diabetes (4-9 years: P=0.06; above 9 years: P=0.002) were two important clinical predictors of DQoL. Conclusion: This study demonstrated a relationship between clinical and socio-demographic factors and diabetic patients’ QoL. Considering these related variables could lead to effective control of diabetes complications and improvement of the patients’ QoL.