@article{fdi:010061963,
  title = {{P}articipative decentralization of diabetes care in {D}avao {C}ity ({P}hilippines) according to the {C}hronic {C}are {M}odel : a program evaluation},
  author = {{P}illeron, {S}. and {P}asquier, {E}. and {B}oyoze-{N}olasco, {I}. and {V}illafuerte, {J}. {J}. and {O}lchini, {D}. and {F}ontbonne, {A}nnick},
  editor = {},
  language = {{ENG}},
  abstract = {{A}im: {T}o assess the effectiveness of the {D}iabetes {P}roject in {D}avao {C}ity, {P}hilippines, regarding diabetes care access, diabetes management and cardiovascular risk factors. {T}he project was developed in accordance with the {C}hronic {C}are {M}odel ({CCM}) framework. {M}ethods: {A} non-randomized cross-sectional survey was conducted in nine intervention and five control {B}arangays (villages). {P}eople with diabetes aged >= 20 years were interviewed using a structured questionnaire; height, weight, waist circumference, and blood pressure were measured; {H}b{A}1c was tested with a {NSGP}-certified point-of-care device. {L}ogistic regression models were used to compare the two groups. {R}esults: {T}he intervention group (n = 503) scored better than the controls (n = 136) on the following ({OR}, 95% {CI}): percentage of patients taking metformin (1.5, 1.0-2.2); and in the last 12 months: laboratory test for fasting blood sugar (1.6, 1.1-2.3), {H}b{A}1c (6.0, 2.4-15.1), lipid profile (1.7, 1.1-2.5), nutritionist visit (1.6, 1.0-2.5) and therapeutic education session (2.7, 1.8-4.0). {G}lycemic control ({H}b{A}1c < 7%) was also better in the intervention {B}arangays (1.6, 1.0-2.4). {T}here were no statistical differences between the two groups for number of visits, and levels of other cardiovascular risk factors. {C}onclusions: {O}ur findings support the effectiveness of implementing the {CCM} framework in a low-to-middle income country on glycemic control and diabetes management.},
  keywords = {{D}iabetes mellitus ; {E}valuation ; {C}hronic {C}are {M}odel ; {D}eveloping countries ; {P}hilippines ; {PHILIPPINES}},
  booktitle = {},
  journal = {{D}iabetes {R}esearch and {C}linical {P}ractice},
  volume = {104},
  numero = {1},
  pages = {189--195},
  ISSN = {0168-8227},
  year = {2014},
  DOI = {10.1016/j.diabres.2014.01.026},
  URL = {https://www.documentation.ird.fr/hor/fdi:010061963},
}