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ICT를 활용한 만성질환관리 시범사업 참여자의 공복혈당수치 변화에 영향을 미치는 요인

Factors Influencing Changes in Fasting Blood Sugar Level of Participants in Primary Care Chronic Disease Management Pilot Project using ICT

병원경영학회지 2021년 26권 1호 p.42 ~ 54
하유희, 진기남, 정재연, 최화영,
소속 상세정보
하유희 ( Ha Yu-Hee ) - Yonsei University Graduate School Department of Health Administration
진기남 ( Jin Ki-Nam ) - Yonsei University Mirae Campus Department of Health Administration
정재연 ( Jeong Jae-Yeon ) - Yonsei University Graduate School Department of Health Administration
최화영 ( Choi Hwa-Young ) - Yonsei University Graduate School Department of Health Administration

Abstract


The purpose of this study is to analyze that ICT-based primary health care affects clinical changes of participants in the primary care chronic disease management pilot project using ICT medical care. Customized health information data, provided by National Health Insurance Service, was used for the analysis. The study targeted a total of 676 people that participated in primary care chronic disease management pilot project using ICT medical care from 2017 to 2018. Hierarchical regression was used to test three model. First, there were many subjects who used face-to-face consultation and non-face-to-face consultation(messaging), but less than half of patients using non-face-to-face consultation(telephone). Second, after participating in the pilot project, the fasting blood sugar level decreased. Third, the clinical condition of the subjects appeared to be an important factor in controlling blood sugar levels. Finally, patients using the non-face-to-face consultation(messaging) had reduced blood sugar levels after participating in the project. This results imply that non-face-to-face consultation is effective in reducing fasting blood sugar level with hospital intervention, and there are effects of the primary care chronic disease management project using ICT.

키워드

ICT; Chronic Disesase; Fasting Blood Sugar Level; Pilot Project

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