To Develop a High Quality Health Care Delivery Model for the Management of Hypertension and Diabetes at CHCs and District Hospitals of Himachal Pradesh.

Not Applicable

Completed

• Conditions: Type 2 Diabetes Mellitus; Hypertension
• Interventions: Other: Evidence based, DSS enabled, health care delivery model

• Registration Number: NCT01794052
• Lead Sponsor: Centre for Chronic Disease Control, India

Brief Summary

Hypertension and diabetes are major risk factors for cardiovascular diseases. Although these two conditions can be detected much early in life and are amenable to interventions at primary health care level, the health system in India fails to provide adequate interventions at primary health care level which translates to huge burden of undiagnosed and uncontrolled hypertension and diabetes in the community. This study aims to design a feasible and sustainable evidence-based, decision support-enabled, health care delivery model for the management of hypertension and diabetes in the primary health care facilities of Himachal Pradesh. The study will be conducted at the 5 Community Health Centers (CHCs) and District Hospital of Solan District, Himachal Pradesh using both qualitative and quantitative methods. The design and development of the model will be carried out in the initial six months followed by piloting the services at the CHCs and District Hospital. The impact of the model on quality of care will be assessed in a pre-post design measuring changes in both clinical and process indicators.

Detailed Description

This study aims to design a feasible and sustainable evidence-based, decision support-enabled, health care delivery model for the management of hypertension and diabetes in the primary health care facilities of Himachal Pradesh. The study will be conducted at the 5 Community Health Centers (CHCs) and District Hospital of Solan District, Himachal Pradesh using both qualitative and quantitative methods. The design and development of the model will be carried out in the initial six months followed by piloting the services at the CHCs and District Hospital. The impact of the model on quality of care will be assessed in a pre-post design measuring changes in both clinical and process indicators.

Study Timeline

• Study Start: 2012-12
• Study First Submitted: 2013-01-23
• Study First Submitted QC: 2013-02-15
• Study First Posted: 2013-02-18
• Primary Completion: 2014-08
• Study Completion: 2014-08
• Status Verified: 2016-08
• Last Update Submitted: 2016-08-05
• Last Update Posted: 2016-08-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 6797

Inclusion Criteria

• All consenting adults of age >30 years attending the Community Health Centre's and Civil Hospital of Solan District of Himachal Pradesh.

Exclusion Criteria

• Person not willing to consent
• <30 years of age
• History of coronary heart disease or stroke
• Pregnant OR trying to become pregnant OR of child-bearing potential and not actively practicing birth control (including natural methods)
• Malignancy or life-threatening diseases

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
DSS enabled health care delivery model	Evidence based, DSS enabled, health care delivery model	Evidence based, DSS enabled, health care delivery model

Primary Outcome Measures

Name	Time	Method
Change in the proportion of people with hypertension and/or diabetes receiving evidence based clinical management.	30 months
Change in compliance to therapy and follow-up rate among people with hypertension and/or diabetes.	30 months

Trial Locations

Locations (1)

CHCs and District Hospital of Solan District; 🇮🇳 Solan, Himachal Pradesh, India