dc.contributor.author	Fraser, Nicole
dc.contributor.author	Krsteska, Ana
dc.contributor.author	Soleski, Kiril
dc.contributor.author	Muthee, Tonny Brian Mungai
dc.contributor.author	Shubber, Zara
dc.contributor.author	Secci, Federica
dc.date.accessioned	2023-06-26T20:18:56Z
dc.date.available	2023-06-26T20:18:56Z
dc.date.issued	2023-06-26
dc.description.abstract	North Macedonia, an Eastern European nation of 1.836 million inhabitants, has a growing burden of noncommunicable diseases (NCDs). An aging population and high levels of NCD risk factors are mainly responsible, with tobacco, raised blood pressure, and unhealthy diets driving mortality and disability. To better address the needs of its rapidly aging population, the growing challenges posed by chronic conditions, and improve overall health system performance, the country is developing a new primary health care (PHC) model. This model should improve the quality of care and the efficiency of primary care by reducing fragmentation, enhancing coordination, prioritizing prevention, and strengthening the role of primary care nurses. Aim of the study is to strengthen the evidence on quality and continuity of care for diabetes and hypertension - the two conditions driving the burden of chronic NCDs and associated health care costs in North Macedonia - a cascade analysis was carried out using a mixed methods design. The assessment drew on secondary quantitative data from national and international sources, primary quantitative data from 2,400 patients in 12 general practitioner (GP) practices, and primary qualitative data from health care providers and patients. Patient data were extracted from the eHealth system (MojTermin) and paper medical records from September to November 2021.	en
dc.identifier	http://documents.worldbank.org/curated/en/099215502202334515/P17063801ce09e037098da00b4f9cefb44c
dc.identifier.doi	10.1596/39929
dc.identifier.uri	https://openknowledge.worldbank.org/handle/10986/39929
dc.language	English
dc.publisher	Washington, DC: World Bank
dc.rights	CC BY-NC 3.0 IGO
dc.rights.holder	World Bank
dc.rights.uri	https://creativecommons.org/licenses/by-nc/3.0/igo
dc.subject	HEALTH CARE
dc.subject	HYPERTENSION
dc.subject	DIABETES
dc.subject	NONCOMMUNICABLE DISEASES
dc.subject	NCDs
dc.title	Supporting Improvements in Continuity of Care for Hypertension and Diabetes in North Macedonia	en
dc.title.subtitle	Findings from a Cascade Analysis	en
dspace.entity.type	Publication
okr.crossref.title	Supporting Improvements in Continuity of Care for Hypertension and Diabetes in North Macedonia: Findings from a Cascade Analysis
okr.date.disclosure	2023-06-26
okr.date.lastmodified	2023-02-20T00:00:00Z	en
okr.doctype	Report
okr.doctype	Publications & Research
okr.docurl	http://documents.worldbank.org/curated/en/099215502202334515/P17063801ce09e037098da00b4f9cefb44c
okr.guid	099062323194520314
okr.guid	099215502202334515
okr.identifier.docmid	P170638-1ce09e27-25d0-4937-98da-0b4f9cefb44c
okr.identifier.doi	http://dx.doi.org/10.1596/39929
okr.identifier.externaldocumentum	34006089
okr.identifier.internaldocumentum	34006089
okr.identifier.report	180278
okr.import.id	946
okr.imported	true	en
okr.language.supported	en
okr.pdfurl	http://documents.worldbank.org/curated/en/099215502202334515/pdf/P17063801ce09e037098da00b4f9cefb44c.pdf	en
okr.region.administrative	Europe and Central Asia
okr.region.country	North Macedonia
okr.sector	Health-HG
okr.topic	Health Indicators
okr.topic	Health Monitoring and Evaluation
okr.unit	HNP Global (HHNGE)
okr.volume	1

Publication: Supporting Improvements in Continuity of Care for Hypertension and Diabetes in North Macedonia: Findings from a Cascade Analysis

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Supporting Improvements in Continuity of Care for Hypertension and Diabetes in North Macedonia: Findings from a Cascade Analysis