The effectiveness of a community-orientated model of primary care for type 2 diabetes compared to standard care
African Journal of Primary Health Care & Family Medicine
| Field | Value | |
| Title | The effectiveness of a community-orientated model of primary care for type 2 diabetes compared to standard care | |
| Creator | Pillay, Shivani Pather, Michael K. | |
| Description | Background: Non-communicable diseases constitute the primary cause of mortality in South Africa, surpassing infectious diseases. Among these, diabetes mellitus is the second leading cause of death. Although local literature on community-orientated primary care (COPC) remains limited, international evidence supports its effectiveness.Aim: This study aimed to evaluate the effectiveness of a COPC model for adults with type 2 diabetes compared to the standard facility model of care.Setting: The Chiawelo COPC (Chiawelo Community Practice) and Chiawelo Community Health Centre (CHC) in Soweto, South Africa.Methods: A cross-sectional observational study was conducted. File records of adults with type 2 diabetes from both models of care were examined for patients’ glycaemic control and clinicians’ adherence to evidence-based diabetes standards of care.Results: Chiawelo COPC (CCP) outperformed the CHC over the investigation period. Mean patient HbA1c at Chiawelo COPC (CCP) was lower than the CHC (7.9%, 8.9%; p 0.001). Body mass index (BMI) (75%, 36%; p 0.001), urine tests (74%, 42%; p 0.001) and renal function assessments (95%, 80%; p 0.05) showed superior results at the COPC practice. Differences were observed in examinations of feet (61%, 1%; p 0.001) and eyes (38%, 1%; p 0.001). Adherence discussions were more frequent at COPC (63%, 48%; p 0.05).Conclusion: The COPC model is more effective than the standard facility-based model in managing type 2 diabetes in the Chiawelo community, Soweto.Contribution: This study contributes to understanding the effectiveness of a COPC model for diabetes care in a South African community. | |
| Publisher | AOSIS | |
| Date | 2025-10-03 | |
| Identifier | 10.4102/phcfm.v17i1.4912 | |
| Source | African Journal of Primary Health Care & Family Medicine; Vol 17, No 1 (2025); 12 pages 2071-2936 2071-2928 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://phcfm.org/index.php/phcfm/article/view/4912/8710
https://phcfm.org/index.php/phcfm/article/view/4912/8711
https://phcfm.org/index.php/phcfm/article/view/4912/8712
https://phcfm.org/index.php/phcfm/article/view/4912/8713
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