Scale-up diabetes and hypertension care (SCUBY)

2024

• Facilitators and Barriers to Scaling-Up Integrated Care for Arterial Hypertension and Type 2 Diabetes in Slovenia: Qualitative Study (Zdr Varst)

• Bottom-Up Analysis of Telemonitoring Costs: A Case Study in Slovenian Primary Care (Zdr Varst)

• Beyond diagnosis: Investigating factors influencing health-related quality of life in older people with type 2 diabetes in Slovenia (Primary Care Diabetes)

• Health after the pandemic: investigating risk factors for poorly controlled arterial hypertension and type 2 diabetes among elderly patients in primary care in Slovenia (Family Medicine & Primary Care Review)

• Development of a Qualitative Data Analysis Codebook for Arterial Hypertension and Type-2-Diabetes Integrated Care Evaluation (International Journal of Integrated Care)

2023

• Costs and Quality of Life in Patients With Systemic Arterial Hypertension in Slovenia (Economic Evaluation)

• Scale-up of a chronic care model-based programme for type 2 diabetes in Belgium: a mixed-methods study (BMC Health Services Research)

• Peer Support as Part of Scaling-Up Integrated Care in Patients with Type 2 Diabetes and Arterial Hypertension at the Primary Healthcare Level: A Study Protocol (Slovenian Journal of Public Health)

• Perceptions of the primary health care team about the implementation of integrated care of patients with type 2 diabetes and hypertension in Slovenia: qualitative study (BMC Health Services Research)

• Healthcare usage and expenditure among people with type 2 diabetes and/or hypertension in Cambodia: results from a cross-sectional survey (BMJ Open)

• Scaling-up integrated type-2 diabetes and hypertension care in Cambodia: what are the barriers to health system performance? (Frontiers in Public Health)

• Evaluation of Diabetes Care Performance in Cambodia Through the Cascade-of-Care Framework: Cross-Sectional Study (JMIR Public Health and Surveillance)

2022

• Kijken naar de beste praktijken: daar leren we van... (Minerva)

• Integration or Fragmentation of Health Care? Examining Policies and Politics in a Belgian Case Study (International Journal of Health Policy and Management)

• The cascade of hypertension carein Cambodia: evidence from a cross-sectionalpopulation-based survey (BMC Health Services Research)

• Telemonitoring of elderly with hypertension and type 2 diabetes at the primary care level: Protocol for a multicentric randomized controlled pilot study (Slovenian Journal of Public Health)

• Generation of Cascades of Care for Diabetes and Hypertension Care Continuum in Cambodia: Protocol for a Population-Based Survey Protocol (JMIR Research Protocols)

• Costs of multimorbidity: a systematic review and meta-analyses (BMC Medicine)

• Applying systems thinking to identify enablers and challenges to scale-up interventions for hypertension and diabetes in low-income and middle-income countries: protocol for a longitudinal mixed-methods study (BMJ Open)

• From Implementation Towards Change Management: A Plea for a Multi-stakeholder View on Innovation Implementation; Comment on “What Managers Find Important for Implementation of Innovations in the Healthcare Sector – Practice Through Six Management Perspectives” (International Journal of Health Policy and Management)

• Development and operationalization of a data framework to assess quality of integrated diabetes care in the fragmented data landscape of Belgium (BMC Health Services Research)

• Process evaluation of the scale-up of integrated diabetes and hypertension care in Belgium, Cambodia and Slovenia (the SCUBY Project): a study protocol (BMJ Open)

2021

• Changes in the level of knowledge of diabetes among elderly with diabetes in Slovenia in the period 2011–2020 (Primary Care Diabetes)

• Scaling-up an Integrated Care for Patients with Non-communicable Diseases: An Analysis of Healthcare Barriers and Facilitators in Slovenia and Belgium (Zdr Varst)

• The burden of recording and reporting health data in primary health care facilities in five low- and lower-middle income countries (BMC Health Services Research)

• Implementation of Integrated Primary Care for Patients with Diabetes and Hypertension: A Case from Slovenia (International Journal of Integrated Care)

• What Makes Integration of Chronic Care so Difficult? A Macro-Level Analysis of Barriers and Facilitators in Belgium (International Journal of Integrated Care)

2020

• The impact of COVID-19 on chronic care according to providers: a qualitative study among primary care practices in Belgium (BMC Primary Care)

• 9.G. Workshop: Evaluation of scale-up of health systems interventions: what and how? Lessons for scale-up projects (European Journal of Public Health)

• Scale-up integrated care for diabetes and hypertension in Cambodia, Slovenia and Belgium (SCUBY): a study design for a quasi-experimental multiple case study (Glob Health Action)

2019

• Scale-up integrated care for diabetes and hypertension in Cambodia, Slovenia and Belgium (European Journal of Public Health)

English

• Discover the SCUBY project, the mission of scaling up integrated care for diabetes and hypertension in Cambodia, Slovenia and Belgium (Health Europa)

Dutch

• Corona crisis could change GP care forever (De Morgen)

• Where do people in diabetes and hypertension care drop out? (Huisartsnu)

• Scaling up of integrated care (Artsenkrant)

• The primary care of the future will be with nurses in family practices (Knack)

• The impact of Covid-19 on chronic care according to healthcare providers: a qualitative study of primary care practices in Belgium (Tijdschrift voor Geneeskunde en Gezondheidszorg!

• Towards better framing of general practice in primary care (Tijdschrift voor Geneeskunde en Gezondheidszorg)

Slovenian

• The path to increasing the integrated care package in three countries (Vita)

2023

• Combining the chronic care model with process and outcome indicators to measure quality of care for diabetes in Belgium: a unique way toward a comprehensive view on quality of care

2022

• Macro-level barriers to scaling up integrated care in three countries: Belgium, Slovenia and Cambodia

• The Cascade of Hypertension Care in Cambodia: Evidence from a Cross-Sectional Population-Based Survey

• Integrated care for Type 2 Diabetes and Hypertension in Slovenia from the perspective of patients and the health care team

• Comprehensive Evaluation of Type 2 Diabetes Management at the Primary Level in Slovenia: Lessons for the Future

• What Makes Integration of Chronic Care so Difficult? A Macro-Level Analysis of Barriers and Facilitators in Belgium

• Introduction of peer support as part of scaling-up integrated care in patients with concomitant diabetes and arterial hypertension at the primary health care level in Slovenia: pilot study protocol

• Telemonitoring of seniors with comorbid hypertension and type 2 diabetes: study protocol and first preliminary results of a randomised multicenter pilot study

• Local practice facilitation: supporting proactive and integrated chronic care in primary care practices in Antwerp, Belgium

• Population health management through integrated data monitoring

• Implementacija telemonitoringa starejših bolnikov z arterijsko hipertenzijo in sladkorno boleznijo tipa 2 na primarni ravni v Sloveniji

• Management of Type-2-Diabetes patients at Family Medicine Practices at the Community Health Centre Ljubljana (Slovenia): A Protocol of a Cross-Sectional Study

• COVID-19 Influence on NCD Prevention, Care and Research in Primary Care: Multi-Case study of Belgium and Slovenia

• Supporting proactive and integrated chronic care in primary care practices in Belgium

• Implementation of blood pressure and blood glucose telemonitoring in elderly patients with hypertension and type 2 diabetes at primary care level in Slovenia

• Implementation of peer support for optimisation of integrated primary care in patients with concomitant diabetes and arterial hypertension

• Implementacija telemonitoringa starejših bolnikov z arterijsko hipertenzijo in sladkorno boleznijo tipa 2 na primarni ravni – prvi izsledki multicentrične randomizirane kontrolirane raziskave

• A data framework to assess quality of integrated diabetes care in Belgium

• Evaluating the Cascade of Hypertension Care in Belgium

• Strukturirani izobraževalni program za osebe, ki bodo nudile laično podporo bolnikom s sladkorno boleznijo in arterijsko hipertenzijo na primarni zdravstveni ravni v Sloveniji

2021

• A Qualitative Study to explore access and barriers to integrated care among vulnerable patients with diabetes mellitus in Belgium

• Process evaluation of scale up of care for hypertension and diabetes in Belgium, Slovenia and Cambodia (the SCUBY project): A study protocol

• Barriers and Facilitators for Scaling-Up an Integrated Care Package of Type 2 Diabetes and Hypertension: A Method for Cross-Country Analysis applied in Slovenia, Belgium and Cambodia

2020

• Patients' thoughts on the better health care and ways in which the healthcare workers can empower them

• Opinions of the primary healthcare team about the integrated care of patients with type 2 Diabetes and Hypertension in Slovenia

• Integrated care in Belgium: implementation in different primary care practices

• Comprehensive Evaluation of The Hypertension at the Primary Level in Slovenia: Lessons for the Future

2019

• Comparison of implementation of integrated care for diabetes In Belgium

• Integrated care policy for the chronically ill in Belgium: a stakeholder analysis

• Implementation of an integrated care package: Cross country lessons from Cambodia, Belgium and Slovenia

• Hypertension cascade across three healthcare systems, in relation to the level of implementation of the integrated care package (ICIC23)

• Scale-up Integrated Care for Chronic Diseases in Belgium: a process evaluation of policy dialogues and roadmap interventions (ICIC23)

• Process evaluations for the scale-up of complex interventions – A scoping review (ICIC23)

• Assessing the Belgian Cascade of Hypertension Care and its determinants (ESHMS)

• Scaling up an integrated care package for diabetes and hypertension for vulnerable people in Cambodia, Slovenia and Belgium (GACD Annual Scientific Meeting)

• SCUBY case study (GACD)

• Scaling Up an integrated care package for diaBetes and hYpertension for vulnerable people in Cambodia, Slovenia and Belgium (Belgium Launch Event)

• Policy brief for research and action on multimorbidity in low- and middle-income countries (GACD)

• The SCUBY project (Miriam Hurtado Monarres)

• A policy analysis of the chronic care policies in Belgium (Katrien Danhieux)

• Evaluation of the hypertension at the primary level in Slovenia: Lessons for the future (Črt Zavrnik)

• Scale-up integrated care for diabetes and hypertension in Cambodia, Slovenia and Belgium: The SCUBY project (European Public Health Conference)

• How does a good project trickles down through a health system? Scale-up of integrated care for diabetes (SCUBY)

• Towards integrated chronic care in Belgium: A preliminary analysis of stakeholders’ views on policy (SCUBY)

• The quality of diabetes care in Belgium through a cascade of care lens: health insurance data linked to lab data (HSR2020)

• Implementation of an Integrated care package: Cross country lessons: Cambodia, Belgium and Slovenia (ITM Colloquium)

• Implementation of integrated care package (ICP) for chronic patients with hypertension (HT) and diabetes type 2 (DT2): lessons from Slovenia (WONCA 2020)

• Estimating Type 2 Diabetes and Hypertension Costs in Slovenia (Virtual ISPOR Europe 2020)

• Health-Related Quality of Life of Chronic Patients in Comparison to General Population in Slovenia (Virtual ISPOR Europe 2020)

• Knowledge of Disease Among Patients with Type 2 Diabetes and Hypertension in Slovenia (Virtual ISPOR Europe 2020)

• Health-Related Quality of Life of Type 2 Diabetes and Hypertension Patients in Slovenia (Virtual ISPOR Europe 2020)

• Process evaluation of the scale-up of integrated chronic care in Belgium, Slovenia and Cambodia (EPH 2021)

• What makes integration of chronic care so difficult? A macro-level analysis of barriers and facilitators in Belgium – international journal of integrated care (ICIC22)

• Co-Harnessing Knowledge: Improving Lives (GACD)

• COVID-19 Influence on NCD Prevention, Care and Research in Primary Care: Multi-Case study of Belgium and Slovenia (EGPRN 2022)

• ​Cross-country lessons from the SCUBY project on country-specific roadmaps for scaling up integrated care in Belgium, Slovenia, and Cambodia (ICIC23)

• Scaling up integrated care: A realist evaluation on the role of policy dialogues and scale-up roadmaps in Belgium, Slovenia and Cambodia (ICIC23)

• Implementation of BP and BG telemonitoring in the elderly population in primary care: a right step towards integrated care? (ICIC23)

• Educational training in disease management for persons providing peer support to patients with type 2 diabetes and arterial hypertension at the primary healthcare level (ICIC23)

• Management of Patients with Hypertension at Family Medicine Practices at the Community Health Centre Ljubljana (Slovenia): A Protocol of a Cross-Sectional Study (ICIC23)

• Understanding the Role of Social Support in the Adherence to the Hypertension Continuum of Care in Cambodia (ICIC23)

• ​Lessons on chronic care organisation during the COVID-19 pandemic in Cambodia, Slovenia and Belgium. COVID as a magnifying glass on primary health care (ICIC23)

• BE_Launch Event

• BE_Round Table Results

• SL_Zdravko 2019

• SL_Clanek December 2019

• SL_Clanek June 2020

• Health Financing in BE

• Backgroundinfo_soundboard

• Scaling-Up Integrated Care Package For Type 2 Diabetes And Hypertension In Cambodia: Evidence And Policy Consideration

• Policy brief by Belgium team (in Dutch)

• SCUBY Roadmap flyer

• SCUBY Poster (A1) in English

• SCUBY Flyer (A5) in English

• SCUBY Flyer (A5) in Dutch

• SCUBY Flyer (A5) in Slovenian

• SCUBY Flyer (A5) in Khmer

• SCUBY Flyer (A5) in French

• Global Alliance for Chronic Diseases (GACD) - Leading research collaborations on chronic diseases worldwide

• SMART2D - A people-centered approach to self-management and reciprocal learning in the prevention and management of type 2 diabetes

SCUBY colloquium: the final dissemination event

26 June 2023
By Grace Ku, Monika Martens, Houssynatou Sy

The SCUBY (SCale-Up of integrated care for diaBetes and hYpertension in Belgium, Cambodia and Slovenia) project had a dissemination event – the SCUBY colloquium – 25 May 2023. There were a total of 129 attendees( 65 virtual and 64 in-person). The University of Antwerp Rector, Prof. dr. Herman Van Goethem gave the opening remarks and the ITM Director, Prof. dr. Lut Lynen, closed the program. The colloquium summarized this 4,5-year project as implemented in the three countries and the roadmaps for scaling up, with each country team presenting their in-country activities and results. The dissemination event was moderated by Prof. dr. Edwin Wouters and Prof. dr. Josefien van Olmen gave a general introduction. The country presentations that ensued by Matic Mihevc and Tina Virtič from the Slovenia team, Srean Chhim from the Cambodia team and Katrien Danhieux from the Belgium team, each team brought a key partner in the implementation of scale-up to share their experiences of working with SCUBY on scale-up.

1. The Slovenia team from the Community Health Center Ljubljana, having piloted a study on peer support, invited one of their trained peer educators to speak.

2. True to their mandate, the Cambodia team from the National Institute of Public Health invited two directors from the Cambodian Ministry of Health, Dr Hero Kol and Dr. Sansam Sim to speak on how evidence generated from SCUBY will help in the future directions for NCD care in the country.

3. The Belgium team from the University of Antwerp invited Prof. dr. Ann van den Bruel to present concrete plans of reforming financing models to facilitate integrating care in primary care practices.

The colloquium also featured a presentation from Monika Martens (from ITM, Antwerp) and dr. Martin Heine (from Utrecht Medical Center) on the synthesis and cross-country lessons on the scale-up roadmaps and from Dr. Bruno Meessen, health financing technical officer of the World Health Organization, providing a glimpse on financing mechanisms to integrate care.

Our EC Horizon project officer, Dr. Marina Koussathana delivered a message virtually. A very engaging panel discussion capped the colloquium, moderated by Prof. dr. Wim Van Damme.

We thank the SCUBY members and participants who attended and helped turn this event into a success!

SCUBY’s journey of the thousand miles for the Global Event “HSR2022”

21 December 2022
By Savina Chham. Katrien Danhieux and Monika Martens

The Seventh Global Symposium on Health Systems Research (HSR2022) took place in Bogota, Colombia, 31st October until 4th November. This event brought together health system researchers from around the globe including several members of the SCUBY team (Josefien, Savina, Monika, Phuong and Katrien).

Talking about Bogota, there was a lot to consider: safety, language barriers and distance (Big Challenge!!). But for the sake of representing SCUBY and showcasing our research findings at this global event, our team made it to all the way across the Atlantic. Let’s me tell you how my 30+ hours journey began from Cambodia to Colombia!!

My journey is a bit bumping along the way (1) I forgot to fill in CHECK-MIG and got stuck at check-in counter for two hours, (2) my flight got delayed by 4 hours at Suvarnabhumi airport (Thailand), (3) immigrant officers kept checking the validity of my travel documents from Suvarnabhumi airport to Schiphol airport (with Cambodian passport, but my EU and UK visas proved them right, they let me pass 😊), (4) I had to run to the boarding gate and arrived 10 minutes before boarding closed, and (5) upon arrival, I ended up losing luggage, but luckily/at least it arrived a day after landing!
Lesson learnt: A BUMP IN THE ROAD DOES NOT END THE JOURNEY!

Then followed our worthy journey in Bogota:

I myself gave a presentation on “Scaling-Up Integrated type-2 diabetes and hypertension care in Cambodia: what are the barriers of health system performance?” on the 2nd of November 2022 in the afternoon session “Tools of the Trade: strengthening critical health system functions for pandemic times and beyond”. At the end of all the presentations, a panel discussion was conducted with the presenters. A discussion was going on with questions from the audiences and the session ended very well. Thank you to the SCUBY family and Cambodia colleagues (from General Secretariat of Social Protection Council, Ministry of Economic and Finances) who came to support. The most heart-warming last message from one of the presenters “I am looking forwards to reading your paper”. Worth Savina’s 30+ hours journey!

Katrien had a poster on “COVID as a magnifying glass on primary healthcare” which was the three countries’ works, this poster cost Katrien a thousand miles. She traveled a thousand miles for data collection in Slovenia and Cambodia, and a thousand miles to present the poster in Bogota. But it is worth it!

Monika gave her oral presentation on “Who is scaling up integrated care and how? Realist evaluation on the role of country-specific policy dialogues and scale-up roadmaps in Cambodia, Slovenia, and Belgium.” on the 4th of November 2022 in the morning session “Health Policy and systems research: cutting edge research to inform transformational practice”. It was a very well-done presentation about a multiple case study evaluation and well-applauded by the audience.