Table 1
Overview of the contextualised data collection and analysis.
| SLOVENIA | BELGIUM | CAMBODIA | |
|---|---|---|---|
| Unit of sampling | Family medicine team | Primary Care Practice | Health centre (HC) or referral hospital (RH) |
| Units sampled, purposive selection criteria | 10 units Regions: - 1 urban regions (n = 8) - 2 rural regions (n = 2) | 66 units Organisational types: -monodisciplinary fee-for-service (n = 30) -multidisciplinary fee-for-service (n = 19) -Multidisciplinary, capitation (n = 17) | 20 units, 15 HC and 5 RF Organisational types: -hospital-based care -health center-based care -community-based care Units in each operational district (OD): 3 HCs and 1 RH |
| Respondents in health care organisations | family physicians, practice nurses, registered nurses (working in health centre/health education centre /community) | family physicians, primary care nurses, dieticians | physicians, nurses, mid-wives, community health workers |
| ICP assessment grid analysis | for every unit, one score for each ICP element, calculated as mean of the corresponding items | ||
| Summative scores per region or practice type (Belgium) | means of scores of the selected units | Score for OD for T2D or HT = (mean (3 HC) + RH)/2 Total score for OD = (score for T2D + score for HT)/2 | |
| Summative scores per country | means of scores of the regions | NA | NA |
Table 2
Implementation of integrated care for patients with T2D and/or HT in Slovenia.
| E1 – IDENTIFICATION | E2 – TREATMENT | E3 – HEALTH EDUCATION | E4 – SELF-MANAGEMENT SUPPORT | E5 – STRUCTURED COLLABORATION | E6 – ORGANIZATION OF CARE | TOTAL SCORE | |
|---|---|---|---|---|---|---|---|
| T2D (range†) | 4.9 (4.8–5.0) | 3.9 (3.5–4.3) | 4.2 (3.8–5.0) | 2.9 (2.4–3.6) | 3.1 (2.4–3.6) | 3.8 (3.6–4.0) | |
| HT (range†) | 4.9 (4.8–5.0) | 4.1 (3.9–4.3) | 4.2 (3.3–5.0) | 2.5 (2.0–3.3) | 3.1 (2.4–3.6) | 3.8 (3.5–4.0) | |
| Total (range†) | 4.9 (4.8–5.0) | 4.0 (3.7–4.1) | 4.2 (3.5–5.0) | 2.6 (2.2–3.1) | 3.1 (2.4–3.6) | 3.6 (2.8–4.2) | 3.7 (3.6–3.9) |
[i] † Range according to all family medicine teams (from urban and rural regions).
Table 3
Implementation of integrated care for patients with T2D and/or HT in Belgium.
| E1 – IDENTIFICATION | E2 – TREATMENT | E3 – HEALTH EDUCATION | E4 – SELF-MANAGEMENT SUPPORT | E5 – STRUCTURED COLLABORATION | E6 – ORGANIZATION OF CARE | TOTAL SCORE | |
|---|---|---|---|---|---|---|---|
| Monodisciplinary (mean and range) | 4.3 (3.3–4.8) | 3.6 (3.0–5.0) | 0.0 (0.0–0.0) | 1.8 (0.8–2.8) | 2.2 (1.0–3.4) | 1.3 (0.7–3.5) | 2.3 (1.6–2.9) |
| Multidisciplinary fee-for-service(mean and range) | 4.3 (4.0–5.0) | 3.7 (3.1–4.3) | 1.5 (0.0–3.5) | 2.3 (1.1–3.3) | 2.4 (1.2–4.0) | 2.3 (0.7–4.3) | 2.8 (2.2–3.3) |
| Multidisciplinary capitation (mean and range) | 4.4 (4.0–5.0) | 3.9 (3.1–4.3) | 2.5 (0–3.50) | 2.6 (1.1–3.3) | 3.4 (1.2–4.0) | 3.5 (2.3–4.3) | 3.3 (2.8–3.9) |
Table 4
Implementation of integrated care for patients with T2D and/or HT in Cambodia.
| OD (PROVINCE) | ORGANISATIONAL TYPE | DISEASE | E1 – IDENTIFICATION | E2 – TREATMENT (WITH RH AS TREATMENT REFERRAL) | E3 – HEALTH EDUCATION | E4 – SELF-MANAGEMENT | E5 – STRUCTURED COLLABORATION | E6 – ORGANIZATION OF CARE | TOTAL |
|---|---|---|---|---|---|---|---|---|---|
| OD Daunkeo (Takeo Province) | (a), (b), (c) | T2D | 2.9 | 2.2 | 2.0 | 2.0 | 1.8 | 2.3 | 2.4 |
| HT | 4.4 | 2.6 | 2.0 | 2.2 | 1.8 | ||||
| Total | 3.7 | 2.4 | 2.0 | 2.1 | 1.8 | ||||
| OD Kong Pisei (Kampong Speu Province) | (c) | T2D | 1.6 | 1.6 | 0.8 | 1.7 | 2.3 | 2.8 | 2.1 |
| HT | 4.3 | 2.1 | 1.1 | 2.2 | 2.4 | ||||
| Total | 3.0 | 1.9 | 1.0 | 1.9 | 2.3 | ||||
| OD Sort Nikum (Siem Reap Province) | (a), (b) | T2D | 2.5 | 1.8 | 1.5 | 1.5 | 1.2 | 2.2 | 2.0 |
| HT | 4.1 | 2.4 | 1.4 | 1.9 | 1.3 | ||||
| Total | 3.3 | 2.1 | 1.4 | 1.7 | 1.3 | ||||
| OD Pearaing (Prey Veng Province) | (a), (b) | T2D | 2.4 | 2.1 | 1.3 | 1.5 | 1.3 | 2.0 | 2.0 |
| HT | 4.1 | 2.4 | 1.6 | 2.0 | 1.4 | ||||
| Total | 3.3 | 2.3 | 1.4 | 1.8 | 1.3 | ||||
| OD Samrong (Oddormeanchey Province) | (a) | T2D | 2.0 | 1.9 | 1.0 | 1.5 | 1.1 | 2.3 | 1.9 |
| HT | 4.0 | 2.5 | 1.6 | 1.9 | 1.3 | ||||
| Total | 3.0 | 2.2 | 1.3 | 1.7 | 1.2 |
[i] (a) Hospital-based care.
(b) Health center-based care.
(c) Community-based care.