Health Policy Manag.  2019 Mar;29(1):19-26. 10.4332/KJHPA.2019.29.1.19.

Evaluation of the Effectiveness and the Level of Self-Management Support on the Metabolic Syndrome Management Program at Public Health Centers in Seoul Metropolitan City

• Kim DO

• KMID: 2446849
• DOI: http://doi.org/10.4332/KJHPA.2019.29.1.19

Abstract

BACKGROUND
The purpose of this study was to evaluate the effectiveness and the level of self-management support on the Metabolic Syndrome Management Program at public health centers in Seoul metropolitan city.
METHODS
The effectiveness on the Metabolic Syndrome Management Program were analyzed using secondary data from 1,312 community residents who were receiving program. The level of self-management support on Metabolic Syndrome Management Program was evaluated using an "˜Assessment of Primary Care Resources and Supports for Chronic Disease Self-Management' from four public health centers.
RESULTS
The effectiveness on the Metabolic Syndrome Management Program was showed that decreased smoking (p=0.044) and drinking (p<0.001), and increased healthy dietary habit (p<0.001) in health behaviors. It was showed that decreased triglyceride (p=0.002) and increased high-density lipoprotein cholesterol (p<0.001) in clinical indicators. The level of self-management support on Metabolic Syndrome Management Program was 98.1 points and it meaned that implementation is done in an organized and consistent manner using a team approach. There was difference in the level of self-management support by public health centers (p=0.003).
CONCLUSION
The Metabolic Syndrome Management Program in public health centers was effective, and level of self-management support was done as organizational level, but patient input and mental health were insufficient.

Keyword

Metabolic syndrome; Self-management support; Public health center; Metabolic Syndrome Management Program

MeSH Terms

Cholesterol
Chronic Disease
Drinking
Food Habits
Health Behavior
Humans
Lipoproteins
Mental Health
Primary Health Care
Public Health*
Self Care*
Seoul*
Smoke
Smoking
Triglycerides
Cholesterol
Lipoproteins
Smoke