Abstract
Diabetic nephropathy (DN) is a health problem that leads to end-stage chronic kidney disease (CKD). Accessibility of healthcare facilities is concerned with commanding appropriate healthcare resources as it could improve health of individual patients. This study aimed to 1) compare the effects of distance to community hospital on health outcomes and 2) determine factors related to chronic kidney disease in patients with type 2 diabetes. The retrospective study was conducted using a database from October 2021 to September 2022 among type 2 diabetes patients with CKD aged 60 years and over. The data was analyzed by the One-Way ANOVA and Kruskal Wallis test, Spearman’s rank correlation coefficient. The findings revealed that among 585 type 2 diabetes patients with CKD, their distance from home to the community hospital ranged from 0 to 10 km(n=257), 11-20 km. (n=48) 21-30 km. (n=48) and 31-40 km. (n=57). The effects of distance to community hospital significantly differed in waist circumference (p=0.0086), systolic blood pressure (SBP) (p=0.0045), and diastolic blood pressure (DBP) (p=0.0413). Moreover, the correlation between factors and estimated glomerular filtration rate (eGFR) within the 0-10 km range encompassed age, DBP, HbA1c, and creatinine, whereas within the 11-20 km range, it included age and creatinine. For distances of 21-30 km, the association involved age, SBP, HbA1c, and creatinine, and for distances of 31-40 km, it implicated age and creatinine. The results suggested that the distance from home to the hospital affected health outcomes. Therefore, those patients should access treatment and care from health facilities near their homes.
Author Information
Krekpon Dissara, Thaksin University, Thailand
Tum Boonrod, Thaksin University, Thailand
Witchada Simla, Thaksin University, Thailand
Vallop Ditsuwan, Thaksin University, Thailand
Butsakorn Sangsuwan, Thaksin University, Thailand
Ausana Ko-aien, Thaksin University, Thailand
Paper Information
Conference: AGen2024
Stream: Public Policy
This paper is part of the AGen2024 Conference Proceedings (View)
Full Paper
View / Download the full paper in a new tab/window
To cite this article:
Dissara K., Boonrod T., Simla W., Ditsuwan V., Sangsuwan B., & Ko-aien A. (2024) The Effects of Distance on Health Outcome and Risk Factors of Estimated Glomerular Filtration Rate Among Type 2 Diabetes Patients ISSN: 2432-4183 The Asian Conference on Aging & Gerontology 2024: Official Conference Proceedings https://doi.org/10.22492/issn.2432-4183.2024.13
To link to this article: https://doi.org/10.22492/issn.2432-4183.2024.13
Comments
Powered by WP LinkPress