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 to improve health. Phanom district is a mountainous and remote area in southern Thailand. Thus, this study aimed to compare the effect of distance to community hospital on health outcomes and to determine factors of chronic kidney disease in patients with type 2 diabetes. The retrospective study was conducted by using a database from October 2021 to September 2022 among type 2 diabetes patients with CKD aged 60 years and over. Analyzed the data with the One-Way ANOVA and Kruskal Wallis test, Spearman's rank correlation coefficient. The result found 585 type 2 diabetes patients with CKD had a distance from their home to the community hospital were 0-10 km. (n=257), 11-20 km. (n=48) 21-30 km. (n=48) and 31-40 km. (n=57). The effect 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). In addition, the association between factors and estimated glomerular filtration rate (eGFR) that found length 0-10 km included age, DBP, HbA1c, creatinine, length 11-20 km. included age and creatinine, length 21-30 km. included age, SBP, HbA1c, and Creatinine, and length 31-40 km. included age and creatinine. The results suggested the distance to the hospital affected health outcomes. Therefore, those patients should access and receive treatment and care from the health service system near their homes.

Authors:
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

About the Presenter(s)
Mr Krekpon Dissara is a University Postgraduate Student at Thaksin University. in Thailand

See this presentation on the full schedule – Tuesday Schedule

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