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Assessment of population coverage of hypertension screening in Thailand based on the effective coverage framework

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dc.contributor.author Kulpimol Charoendee
dc.contributor.author Jiruth Sriratanaban
dc.contributor.author Wichai Aekplakorn
dc.contributor.author Piya Hanvoravongchai
dc.contributor.other Chulalongkorn University. Faculty of Medicine
dc.coverage.spatial Thailand
dc.date.accessioned 2019-06-13T03:00:41Z
dc.date.available 2019-06-13T03:00:41Z
dc.date.issued 2018-03-27
dc.identifier.citation BMC Health Services Research. Vol.18, Article No. 208 (2018), 9 pages en_US
dc.identifier.issn 1472-6963
dc.identifier.uri http://cuir.car.chula.ac.th/handle/123456789/62110
dc.description.abstract Background : Hypertension (HT) is a major risk factor, and accessible and effective HT screening services are necessary. The effective coverage framework is an assessment tool that can be used to assess health service performance by considering target population who need and receive quality service. The aim of this study is to measure effective coverage of hypertension screening services at the provincial level in Thailand. Methods : Over 40 million individual health service records in 2013 were acquired. Data on blood pressure measurement, risk assessment, HT diagnosis and follow up were analyzed. The effectiveness of the services was assessed based on a set of quality criteria for pre-HT, suspected HT, and confirmed HT cases. Effective coverage of HT services for all non-HT Thai population aged 15 or over was estimated for each province and for all Thailand. Results : Population coverage of HT screening is 54.6%, varying significantly across provinces. Among those screened, 28.9% were considered pre-HT, and another 6.0% were suspected HT cases. The average provincial effective coverage was at 49.9%. Around four-fifths (82.6%) of the pre-HT group received HT and Cardiovascular diseases (CVD) risk assessment. Among the suspected HT cases, less than half (38.0%) got a follow-up blood pressure measurement within 60 days from the screening date. Around 9.2% of the suspected cases were diagnosed as having HT, and only one-third of them (36.5%) received treatment within 6 months. Within this group, 21.8% obtained CVD risk assessment, and half of them had their blood pressure under control (50.8%) with less than 1 % (0.7%) of them managed to get the CVD risk reduced. Conclusions : Our findings suggest that hypertension screening coverage, post-screening service quality, and effective coverage of HT screening in Thailand were still low and they vary greatly across provinces. It is imperative that service coverage and its effectiveness are assessed, and both need improvement. Despite some limitations, measurement of effective coverage could be done with existing data, and it can serve as a useful tool for performance measurement of public health services. en_US
dc.language.iso en en_US
dc.publisher BioMed Central en_US
dc.relation.uri https://doi.org/10.1186/s12913-018-2996-y
dc.relation.uri https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-018-2996-y
dc.rights © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/) en_US
dc.title Assessment of population coverage of hypertension screening in Thailand based on the effective coverage framework en_US
dc.type Article en_US
dc.email.author No information provided
dc.email.author Jiruth.S@Chula.ac.th
dc.email.author No information provided
dc.email.author Piya.H@Chula.ac.th
dc.subject.keyword Hypertension en_US
dc.subject.keyword Screening en_US
dc.subject.keyword NCDs en_US
dc.subject.keyword Measure en_US
dc.subject.keyword Effective coverage en_US
dc.subject.keyword Access en_US
dc.subject.keyword Thailand en_US
dc.identifier.DOI 10.1186/s12913-018-2996-y


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