SVIBOR - Project code: 3-01-152

MINISTRY OF SCIENCE AND TECHNOLOGY

Strossmayerov trg 4, HR - 10000 ZAGREB
tel.: +385 1 459 44 44, fax: +385 1 459 44 69
E-mail: ured@znanost.hr

SVIBOR

SVIBOR - Collecting Data on Projects in Croatia

Project code: 3-01-152


Involvement of "Croatian Model", Model of diabetes health care in European strategy for diabetes mellitus, according to WHO/IDF Declaration in St. Vincent.


Main researcher: ŠKRABALO, ZDENKO (47366)


Assistants
Type of research: developmental
Duration from: 01/01/91. to 12/31/93.
Papers on project (total): 43
Papers on project quoted in Current Contents: 14
Institution name: Institut za dijabetes, endokrinologiju i bolesti metabolizma "Vuk Vrhovac", Zagreb (45)
Department/Institute: Associate Activities Department, Outpatient Department
Address: Dugi dol 4a
City: 10000 - Zagreb, Croatia
Communication
Phone: 385 01/2331-480
Fax: 385 (0)1/2331-515
E-mail: diabinst@x400.srce.hr
Summary: Concept of "Croatian Model", model of diabetes health care could be useful in organization of health care for other non-communicable diseases while the most of risk factors are simmilar to the risk factors in diabetes mellitus. The project is elaborated regarding appropriate methodology and evaluation of such a model, with the purpose to adjust and implement in other environments. "Croatian Model" is the basic and important part of European strategy for diabetes mellitus accepted by Declaration from St. Vincent.

Keywords: diabetes mellitus, organization of health care, evaluation

Research goals: 1. To initiate programs of diabetes detection, with emphasis onself-protection. An early diabetes detection drive was carried out in a transport firm, the prevalence of diabetes was 0.8%, the prevalence of IGT was 1.6%. 2. To determine the prevalence of IDDM risk markers in the population of Croatia. The study is in progress (12, 15). 3. To determine the prevalence of diabetic complications inpersons with IDDM. A sample of 140 patients was examined,providing a data base for analysing associations between complications and risk factors. 4. To reduce the incidence of blindness in diabetic patients byone third. 5. To reduce the incidence of end-stage renal disease in diabetic patients by at least one third. 6. To reduce by half the incidence of foot amputation due to diabetic gangrene. 7. To reduce coronary heart disease morbidity and mortality in diabetic patients. Due to the natural history of diabetic complications, it si too early to expect results, but themethodology of evaluation is being developed (6, 7, 11, 14). 8. To achieve in diabetic pregnancy a pregnancy outcome similar to that of the nondiabetic population. In the population ofZagreb, the outcome of pregnancy in diabetic women is similar to that in the gneral population, due to well organized services. 9. To develop appropriate technology in the diagnosis, follow-up and self-monitoring of diabetes. A simple method for diagnosis and follow-up of diabetes has been developed, particularly suitable for areas without diabetes services (10). Aid to displaced and refugee diabetic patients has been organized. The Croatian Model of diabetes health care has been organized. The Croatian Model of diabetes health care has proved effective in war circumstance (2, 5, 8). The effect of war-induced stress on the stress hormones and glycemia control in diabetic patients has been investigated (1, 3, 4, 9). The format of the existing Diabetes Registry has been modified according to the European Diabetes program (EURODIABETA). 10. To develop programs of continuing education of secondary care personnel, education of primary health care teams on the methodology of small-group patient education, continuing education of primary care in the field of diabetes and its complications. Biannually (except in 1991), education of health personnel was carried out in the form of meetings with various topics. A course on patient education was held for primary care teams (13, 16). The "Patient guide to diabetes care" wastranslated into Croatian. The Institute for Diabetes participated in the formulation of the European Consensus of IDDM Treatment. Both the IDDM and NIDDM Consensus Report were translated into Croatian and adapted to local circumstances. An educational meeting for persons working in diabetes centres and consulting units was held in every county. 11. To develop a national program for the education of nurses in the field of diabetes. The "LEMON" Project was started in Croatia, as part of the WHO project to develop high quality learning material for nurses in Central and Eastern Europe.

COOPERATION - PROJECTS


  1. Name of project: World Health Organization Project to Develop a Quality of Life Assessment Instrument (WHOQOL)
    Name of institution: World Health Organization
    City: Ženeva, Švicarska

  2. Name of project: "Croatian Model" - Development of appropriate technology in the control of diabetes mellitus.
    Name of institution: World Health Organization
    City: Ženeva, Švicarska

  3. Name of project: "LEMON" - providing learning material on nursing to nurses in countries of Central and Eastern Europe
    Name of institution: World Health Organization
    City: Ženeva, Švicarska

  4. Name of project: EURODIAB IDDM Complications Study
    Name of institution: University College London
    City: London, U.K.

  5. Name of project: Controlled Trial of Lisinopril in Insulin Dependent Diabetes
    Name of institution: University College London
    City: London, U.K.

  6. Name of project: IDDM Genetic Marker Study
    Name of institution: Graduate School of Public Health, Pittsburgh
    City: Pittsburgh, U.S.A.

  7. Name of project: DIAMOND IDDM Complications Study
    Name of institution: Graduate School of Public Health
    City: Pittsburgh, SAD

COOPERATION - INSTITUTIONS


  1. Name of institution: Filozofski fakultet - Odsjek za psihologiju, Sveučilište u Zagrebu
    Type of institution: University/Faculty
    Type of cooperation: Joint publishing of scientific papers
    City: 10000 - Zagreb, Croatia

  2. Name of institution: Diabetes Research Center
    Type of institution: University/Faculty
    Type of cooperation: Joint project
    City: Pittsburgh, SAD

  3. Name of institution: University College
    Type of institution: University/Faculty
    Type of cooperation: Joint project
    City: London, U.K.
Other information about the project.
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