Efficacy of Telemedicine in Non-Communicable Diseases at Primary Care Unit, Ratchaburi Hospital

Main Article Content

Prachya Katewongsa
Phetsinee Boonmee

Abstract

ABSTRACT


Background: Non-communicable diseases are increasingly prevalent. Telemedicine enhances the convenience and accessibility of healthcare services for patients. This study aims to evaluate the effectiveness of healthcare service delivery and follow-up using telemedicine in non-communicable diseases (NCD) patients.


Design:  Quantitative research and retrospective study


Methods: This study reviewed medical records of patients with hypertension and type 2 diabetes mellitus at the Primary Care Unit. The patients were divided into 108 in the telemedicine group and 115 in the usual group. The study was performed from March 1, 2023 to March 31, 2024.


Results: The study was conducted in 233 patients. After twelve months of follow-up, the systolic blood pressure (SBP) and diastolic blood pressure (DBP) showed no significant differences between the telemedicine group and the usual group. The FBS showed a greater statistically significant reduction in the telemedicine group than the usual group at 12 months. However, the HbA1C demonstrated no significant differences between the two groups. Moreover, the SBP and FBS after the 12 months of treatment were significantly reduced in the telemedicine group.


Conclusions: The effectiveness of telemedicine and usual service was not different in patients with NCD at the primary care unit. Telemedicine may be an alternative treatment option.


Keywords: telemedicine, hypertension, diabetic mellitus

Downloads

Download data is not yet available.

Article Details

How to Cite
1.
Katewongsa P, Boonmee P. Efficacy of Telemedicine in Non-Communicable Diseases at Primary Care Unit, Ratchaburi Hospital. PCFM [internet]. 2026 Jun. 30 [cited 2026 Jul. 8];9(3). available from: https://so03.tci-thaijo.org/index.php/PCFM/article/view/287824
Section
Original article

References

World Health Organization. Diagnosis and Management of Type 2 Diabetes Geneva. World Health Organization; 2020. [cited 2024 Jan 29], Available from: https://iris.who.int/bitstream/handle/10665/331710/WHO-UCN-NCD-20.1-eng.pdf.

กมลาศ ทองมีสิทธิ์ โยสท์, จิตนภา วาณิชวโรต, กฤษณา ตรียมณีรัตน์. พัฒนารูปแบบการให้บริการวิถีใหม่สำหรับผู้ป่วยโรคไม่ติดต่อเรื้อรัง (เบาหวานและความดันโลหิตสูง) ปี พ.ศ. 2565. สถาบันเวชศาสตร์สมเด็จพระสังฆราชญาณสังวรเพื่อผู้สูงอายุ กรมการแพทย์ กระทรวงสาธารณสุข. นนทบุรี: สินทวีการพิมพ์; 2565.

Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Amann M, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380:2224-60.

Rodgers A, Ezzati M, Hoorn SV. Distribution of major health risks: findings from the global burden of disease study. PLoS Med. 2004;1:44-55.

Finley CR, Chan DS, Garrison S, Korownyk C, Kolber MR, Campbell S, et al. What are the most common conditions in primary care? Systematic review. Can Fam Physician. 2018;64:832-40.

Aekplakorn W, Pukcharern H, Satheannoppakao W. Thai National Health Examination Survey, NHES VI. Bangkok: Faculty of medicine Ramathibodi hospital Mahidol University; 2021. 7. United Nations. Asia–Pacific Report on Population Ageing 2022 Trends, policies and good practices regarding older persons and population ageing [internet]. 2022. [cited 2024 Jan 29]. Available from: https://www.unescap.org/sites/default/d8files/event–documents/AP–Ageing– 2022–report.pdf

International Diabetes Federation. Diabetes Atlas 8th edition [Internet]. 2017 [cited 2024 Jan 2]. Available from: https://www.diabetesatlas.org/upload/resources/previous/files/8/IDF_DA_8e– EN–final.pdf 9. กรมควบคุมโรค กระทรวงสาธารณสุข. รายงานสถานการณ์โรค NCDs เบาหวาน ความดันโลหิตสูง และปัจจัยที่เกี่ยวข้อง. กองโรคไม่ติดต่อ. กรุงเทพฯ: โรงพิมพ์อักษรกราฟฟิกแอนด์ดีไซน์; 2563.

กองบริหารสาธารณสุข. การดำเนินการจัดบริการทางการแพทย์วิถีใหม่ (New normal Medical Service). กรุงเทพฯ: บริษัท บอนทูบี พับลิซซิ่ง; 2563.

Department of Medical Service, Mistry of Public Health. Handbook of integrated, people centered health services in new normal diabetic & hypertensive clinic (for healthcare workers). Bangkok. 2020.

Krongbhumin R. Telemedicine on application and the new normal after COVID-19 with communicable theoretical perspective. Phuket Rajabhat University Academic Journal. 2021;17:18-36.

Chantasin W. Self-care of diabetic mellitus in pandemic of COVID-19. Thai Journal of Public Health and Health Education. 2022;2:1-8.

Duan Y, Xie Z, Dong F, Wu Z, Lin Z, Sun N. et al. Effectiveness of home blood pressure telemonitoring: a systematic review and meta-analysis of randomised controlled studies. J Hum Hypertens. 2017;31:427-37.

Margolis KL, Asche SE, Dehmer SP, Bergdall AR, Green BB, Sperl-Hilen JM. et al. Longterm outcomes of the effects of home blood pressure telemonitoring and pharmacist management on blood pressure among adults with uncontrolled hypertension. JAMA. 2018;1:e181617. PubMed PMID: 30646139

Wiriyapong P, Pongsura S, Fuanchan A, Dhippayorn T. The use of telemedicine to support type 2 diabetes care. J Med Health Sci. 2021;28:165-77.

Faul F, Erdfelder E, Lang AG, Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods 2007;39:175-91.

Cohen J. Statistical power analysis for the behavioral sciences. Hillsdale, New Jersey: Lawrence Erlbaum Associates; 1988.

Yatabe J, Yatabe MS, Okada R, Ichihara A. Efficacy of telemedicine in hypertension care through home blood pressure monitoring and videoconferencing: randomized controlled trial. JMIR Cardio. 2021;5:e27347. PubMed PMID: 34321194

Tangwanapri T, Sangkaew S, Leelaphaibun J. Efficacy of telemedicine on blood pressure control among patients with hypertensive during COVID-19 pandemic: A retrospective cohort study. Journal of Primary Care and Family Medicine. 2023;6:316-27.

Youkong K, Kitreewutiwong N. Effectiveness of telehealth self-management support program on self management behavior and blood pressure among essential hypertension patients in Sawankhalok District, Sakhothai Province. Nursing Journal of the Ministry of Public Health. 2023;3:25-38.

Bosworth HB, Benjamin J, Olsen MK, Grubber J, Smith V, Pamela W, et al. Home blood pressure management and improved blood pressure control: results from a randomized controlled trial. Arch Intern Med. 2011;171:1173-80.

Wang JG, Li Y, Chia YC, Cheng HM, Minh HV, Siddique S, et al. Telemedicine in the management of hypertension: evolving technological platforms for blood pressure telemonitoring. Journal of Clinical Hypertension (Greenwich, Conn.). 2021;23:435–39.

Gong K, Yan YL, Li Y, Du J, Wang J, Han Y, et al. Mobile health applications for the management of primary hypertension. Medicine (Baltimore). 2020;99(16):e19715. PubMed PMID: 32311957

Hammersley V, Parker R, Paterson M, Hanley J, Pinnock H, Padfield P, et al. Telemonitoring at scale for hypertension in primary care: an implementation study. PLoS Medicine. 2020;17:1-19.

Busayarasamee B. Development of care model for diabetic and hypertensive patients in the new era, Ampur Mueang, Nakhon Pathom. Region 4-5 Medical Journal. 2023;42:63-77.

Dermkhuntod N, Kwancharoen R, Chuantantikamol C, Paholpak P. Effects of telehealth monitoring on glycemic control and medication adherence in patients with poorly controlled type 2 diabetes. Vajira Medical Journal: Journal of Urban Medicine. 2021;65:S75-90.

Trakulboonnate N. The satisfaction of out-patient department service in the Princess Mother Navuti Hosptial. Journal of The Police Nurses. 2017;9:64-74.

Longswasd R. The satisfaction of the out-patients department service of Somdetphraphutalertla Hospital. Hua Hin Sook Jai Klai Kangwon Journal. 2019;4:60-70.

American Diabetes Association. How COVID-19 impacts people with diabetes. [internet]. 2021. [cited 2024 Dec 20]. Available from: https://www.diabetes.org/corona virus-covid-19/how-coronavirus-impacts-people-with-diabetes

Rattanamongkolkul J. Dietz application: telemedicine for diabetes treatment and self-care tracking. Journal of the Thai Informatics Association. 2022;1:46-54.