Doocy Shannon, Lyles Emily, Fahed Zeina, Mkanna Abdalla, Kontunen Kaisa, Burnham Gilbert
Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
International Organization for Migration, Beirut, Lebanon.
Open Hypertens J. 2018 Dec 24;10(1):60-75. doi: 10.2174/1876526201810010060.
Given the protracted nature of the crisis in Syria, the large caseload of Syrian refugee patients with non-communicable diseases, and the high costs of providing non-communicable disease care, implications for Lebanon's health system are vast.
To provide a profile of the health status of diabetes and hypertension patients enrolled in a longitudinal cohort study in Lebanon.
A longitudinal cohort study was implemented from January 2015 through August 2016 to evaluate the effectiveness of treatment guidelines and an mHealth application on the quality of care and health outcomes for patients in primary health care facilities in Lebanon offering low-cost services serving both Syrian refugees and Lebanese host communities. This paper presents baseline characteristics of enrolled patients, providing an overall health status profile.
Among participants, 11.5% of patients with hypertension and 9.7% of patients with diabetes were previously undiagnosed. Quality of care, measured as the proportion of patients with biometrics reported and whose condition is controlled, is less than ideal and varied by geographic location. Controlled blood pressure measurements were observed in 64.2% of patients with hypertension; HbA1C values indicated diabetes control in 43.5% of the patients.
Differences in diagnostic history and disease control between Syrian and Lebanese patients and across geographic regions were observed, which could be applied to inform strategies aimed at improving diagnosis and quality of care for hypertension and diabetes in primary care settings in Lebanon.
鉴于叙利亚危机的持久性、叙利亚患有非传染性疾病的难民患者数量众多以及提供非传染性疾病护理的高昂成本，黎巴嫩卫生系统受到的影响巨大。
描述参与黎巴嫩一项纵向队列研究的糖尿病和高血压患者的健康状况。
2015年1月至2016年8月实施了一项纵向队列研究，以评估治疗指南和一款移动健康应用程序对黎巴嫩提供低成本服务、同时服务叙利亚难民和黎巴嫩当地社区的初级卫生保健机构中患者的护理质量和健康结果的有效性。本文介绍了入组患者的基线特征，呈现了总体健康状况。
在参与者中，11.5%的高血压患者和9.7%的糖尿病患者此前未被诊断出患病。以报告生物特征数据且病情得到控制的患者比例衡量的护理质量不尽人意，且因地理位置而异。64.2%的高血压患者血压测量得到控制；43.5%的患者糖化血红蛋白值表明糖尿病得到控制。
观察到叙利亚和黎巴嫩患者之间以及不同地理区域在诊断史和疾病控制方面存在差异，这些差异可用于为旨在改善黎巴嫩初级保健机构中高血压和糖尿病诊断及护理质量的策略提供参考。
