Lee Seonah, Song Nanyoung, Kim Suhyun
College of Nursing, Chonnam National University, Gwangju 61469, Republic of Korea.
Hypertension & Diabetes Registration Center, Suwan Health Life Support Center, Gwangju 62247, Republic of Korea.
Healthcare (Basel). 2023 May 1;11(9):1297. doi: 10.3390/healthcare11091297.
Hypertension and diabetes mellitus, which induce cardiovascular and cerebrovascular diseases, require government intervention. In South Korea, the web-based registration-and-management system for patients with hypertension and diabetes mellitus was operated as a pilot program. This study explored the experiences of the 71 participating medical centers in G city, South Korea, of using the web-based registration-and-management system for preventing and managing hypertension and diabetes mellitus. After the survey, 40 physicians participated in interviews, and the recorded interviews were analyzed and classified into three categories: participation motivation, participation experiences, and suggestions. The study participants participated in a national pilot project with different expectations. Similar to the survey results on participation experiences, the satisfaction from a patient-care perspective was high, but there was an excessive burden of administrative work from the perspective of primary-medical-center operations. In addition, the suggestions included strengthening systematic education, continuous maintenance, broad project application, and improvements to the system. The system needs to be unified and simplified, the project continuity needs to be secured, and the application of the system to other regions and medical centers needs to be considered to induce public-private cooperation to reduce the amount of administrative work, which is currently excessive.
诱发心脑血管疾病的高血压和糖尿病需要政府干预。在韩国,高血压和糖尿病患者的网络登记管理系统作为一个试点项目运行。本研究探讨了韩国G市71家参与的医疗中心使用该网络登记管理系统预防和管理高血压及糖尿病的经验。调查后,40名医生参与了访谈,对记录的访谈进行了分析并分为三类:参与动机、参与经历和建议。研究参与者带着不同的期望参与了一个国家试点项目。与参与经历的调查结果类似,从患者护理角度的满意度较高,但从基层医疗中心运营角度来看,行政工作负担过重。此外,建议包括加强系统教育、持续维护、广泛的项目应用以及系统改进。该系统需要统一和简化,确保项目连续性,并考虑将该系统应用于其他地区和医疗中心,以促使公私合作减少目前过多的行政工作量。