Scale-up integrated care for diabetes and hypertension in Cambodia, Slovenia and Belgium (SCUBY): a study design for a quasi-experimental multiple case study.

摘要: Health systems worldwide struggle to manage the growing burden of type 2 diabetes and hypertension. Many patients receive suboptimal care, especially those most vulnerable. An evidence-based Integrated Care Package (ICP) with primary care-based diagnosis, treatment, education self-management support collaboration, leads better health outcomes, but there is little knowledge how scale-up. The Scale-up integrated care for hypertension project (SCUBY) aims address this problem by roadmaps scaling-up ICP in different types systems: a developing system lower middle-income country (Cambodia); centrally steered high-income (Slovenia); publicly funded highly privatised health-care (Belgium). In quasi-experimental multi-case design, country-specific scale-up strategies are developed, implemented evaluated. A three-dimensional framework assesses along three axes: (1) increase population coverage; (2) expansion package; (3) integration into system. study includes formative, intervention evaluation phase. entails development implementation an improved strategy through roadmap minimum dataset monitor proximal distal outcomes. SCUBY expected result roadmaps, tailored specific context, progress dimensions. These can be adapted other similar typology. Implementation number well-controlled Cambodia, reduce inequities patient empowerment Belgium Slovenia.