Grace Marie Ku
Datos Biográficos
| ID | 6775915 |
|---|---|
| NOMBRE | Grace Marie Ku |
| NOMBRES | Grace Marie |
| APELLIDO | Ku |
| FIRMA | KU G M |
| AFILIACIONES | Instituut voor Tropische Geneeskunde |
| ORCID | 0000-0002-4276-9104 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 25 |
| TOTAL DE CITAS | 0 |
| TOTAL COMO AUTOR | 25 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2011 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 0 |
Dialysis deserts in the Philippines
BACKGROUND: In the Philippines, dialysis facilities are clustered in urban centers, leaving patients with Kidney Failure (KF) in rural and geographically isolated regions severely underserved. Despite a national peritoneal dialysis (PD)-first policy since 2014, a decade of implementation has not closed this gap, and no national analysis has examined whether the existing organization of dialysis services drives geographic inequities or how integra…
Understanding the role of family social support in the medication adherence to hypertension treatment in Cambodia
The role of social support from family members was very positive in enhancing medication adherence among patients with HTN in Cambodia. Potential strategic interventions should include focus on establishing an intervention involving family members to provide support for HTN treatment
HEARTS Calidad
HEARTS en las Américas constituye la implementación a mayor escala de la iniciativa mundial HEARTS de la Organización Mundial de la Salud (OMS), con la participación de 33 países, 28 de los cuales han adoptado vías clínicas estandarizadas, y cerca de 10 000 centros de atención primaria implicados. A pesar de los avances, algunos factores como la atención fragmentada, la escasa disponibilidad de dispositivos validados para medir la presión arteria…
Determinants of modern contraceptive use among married and sexually active unmarried women aged 15–49 years old in Cambodia
Using modern contraceptives is essential for promoting economics, limiting the space of pregnancies, and improving maternal and newborn health outcomes. Despite progress in Cambodia, disparities in contraceptive use persist, particularly across socio-demographic and geographic groups. This study examined the prevalence and determinants of modern contraceptive use among married and sexually active women of reproductive age (15–49 years) in Cambodi…
Improving the quality of chronic care through purchasing arrangements in resource-constrained settings
BACKGROUND: There are substantial issues with the quality of care (QoC) received by persons living with chronic conditions, particularly in low- and middle-income countries (LMICs). One possible channel to improve QoC is through financing, specifically purchasing arrangements for health services. This has been actively explored in high-income country settings, generating a growing body of scientific knowledge. OBJECTIVE: To understand the potenti…
Hypertension Cascade Across Three Healthcare Systems and in Relation to the Level of Implementation of the Integrated Care Package
Despite contextual differences between the countries and difficulties in comparability of the cascades, lessons can be learnt from each country's strengths and weaknesses to improve quality of integrated hypertension care
Country-Specific Roadmaps for Scaling Up Integrated Care in Belgium, Slovenia, and Cambodia – Lessons Learned from the SCUBY Project
Introduction: The SCUBY project aimed to provide knowledge on the scaling-up of an Integrated Care Package (ICP) for type 2 diabetes and hypertension across three distinct health systems (Cambodia, Slovenia, and Belgium). Here, we analyse the different elements of the country-specific scale-up roadmaps to identify similarities and differences, and share lessons learned. Methods: Thematic analysis was used to derive crucial roadmap elements from k…
Quality of care for chronic conditions
There is a growing need to implement high quality chronic care to address the global burden of chronic conditions. However, to our knowledge, there have been no systematic attempts to define and specify aims for chronic care quality. To address this gap, we conducted a scoping review and Delphi survey to establish and validate comprehensive specifications. The Institute of Medicine's (IOM) quality of care definition and aims were used as the foun…
A framework for chronic care quality
Frameworks conceptualising the quality of care abound and vary; some concentrate on specific aspects such as safety, effectiveness, others all-encompassing. However, to our knowledge, tailoring to systematically arrive at a comprehensive care for chronic conditions quality (CCCQ) framework has never been done. We conducted a scoping review and Delphi survey to produce a CCCQ framework, comprehensively delineating aims, determinants and measurable…
Process Evaluations for the Scale-Up of Complex Interventions – a Scoping Review
Introduction: Complex health interventions (CHIs) are common in (public) health and social care practice and policy. A process evaluation (PE) is an essential part of designing and testing CHIs and questions what is implemented, the mechanisms of change, and how context affects implementation. The scale-up of CHIs is challenging and heterogeneous, making the accompanying PE unique to the nature of the inquiry. Methods: We conducted a scoping revi…
Scale-Up of Integrated Care Interventions for Chronic Diseases in Diverse Settings
The global burden of chronic conditions such as Type 2 Diabetes (T2DM) and hypertension (HTN) is increasing exponentially, not only in high-income countries (HIC) but also, and more rapidly, in low- and middle-income countries (LMIC). Health systems worldwide struggle to manage this growing burden. Integrated interventions for prevention, detection, treatment, and control of T2DM and HTN have been previously demonstrated to be effective in contro…
Examining Macro-Level Barriers and Facilitators to Scaling Up Integrated Care from a Complexity Perspective
Examining differences and similarities between barriers in each health system stimulated reciprocal learning. Interactions between health system barriers in specific contexts require further attention to move complex health systems forward
Cost of “Ideal Minimum Integrated Care” for Type 2 Diabetes and Hypertension Patients in Cambodia Context
The projected costs of IMIC for T2D and HTN in Cambodia provides evidence to informed decision-making of relevant actors in implementing scale-up of IMIC for T2D and HTN. The model can be used in countries with similar context to calculate costs of integrated care
The barriers and facilitators of implementing a national laboratory-based AMR surveillance system in Cambodia
Background: Collecting data on antimicrobial resistance (AMR) is an essential approach for defining the scope of the AMR problem, developing evidence-based interventions and detecting new and emerging resistances. Our study aimed to identify key factors influencing the implementation of a laboratory-based AMR surveillance system in Cambodia. This will add additional insights to the development of a sustainable and effective national AMR surveilla…
Descriptive assessment of Covid-19 responses and lessons learnt in Cambodia, January 2020 to June 2022
As a member state of the International Health Regulations 2005, Cambodia is continuously strengthening its capacity to respond to health emergencies and prevent the international spread of diseases. Despite this, Cambodia’s capacity to prevent, detect and rapidly respond to public health threats remained limited at the onset of the pandemic, as was the case in most countries. This paper describes epidemiological phases, response phases, strategy …
Process evaluations for the scale-up of complex interventions – A scoping review
Background: Process evaluation (PE) is an essential part of testing and adapting complex health interventions (CHIs) and involves evaluating what is implemented (and how), mechanisms of change, and how context affects implementation and health outcomes. To address complex health needs, the focus is on developing new CHIs, rather than on adapting and scaling up existing interventions to promote stronger integration, increased population coverage, …
Cross-country lessons from the SCUBY project on country-specific roadmaps for scaling up integrated care in Belgium, Slovenia, and Cambodia
Background: The aim of the SCUBY project was to provide evidence on the scaling up of an Integrated Care Package (ICP) for type II Diabetes (T2D) and hypertension (HT) across three distinct health systems (Cambodia, Slovenia, and Belgium) through the development and implementation of country-specific roadmaps for a national scale-up strategy. Harnessing mixed-methods research and stakeholder engagement informed the development of country-specific…
Workshop launch of the Ijic Thematic issue on scale-up of integrated care interventions for chronic diseases in three diverse settings
Chronic diseases – such as Type 2 Diabetes (T2D) and hypertension (HTN) – are on the rise globally, regardless of country income levels. A vast range of policy initiatives and interventions stimulates principles of integrated care – to prevent and manage T2D and HTN. These integrated care interventions, shown to be effective in small-scale settings, whilst mostly not technically nor medically complex, tend to be organizationally challenging: they…
Hypertension cascade across three healthcare systems and in relation to the level of implementation of the integrated care package of hypertension
Introduction: Primary health care (PHC) systems across the globe are struggling to produce an effective response to the rising burden of disease related to Type 2 Diabetes (T2D). However, effective T2D care at the PHC level – the ‘Integrated Care Package (ICP)’– exists and is cost-effective. Further, there is evidence that this integrated care package ((1) structure) leads to improved care processes (2), to health care responsive to people’s need…
Integration as organising principle to strengthen quality of chronic care
Introduction & Who Is It For? There is a need to strengthen quality of chronic care to benefit people with chronic conditions (PwCC). Cascades of care for chronic conditions consistently show marked decline from “overall prevalence” to “good control”[1,2]. Qualitative studies demonstrate that user-related barriers redound on care quality, e.g. accessibility (geographically inaccessible, service non-availability), (non-)affordability, and affectiv…
Developing and testing an Evaluation Strategy for Integrated care for Type II Diabetes in three health system contexts (Belgium, Cambodia and Slovenia)
Introduction: Primary health care (PHC) systems across the globe are struggling to produce an effective response to the rising burden of disease related to Type 2 Diabetes (T2D). However, effective T2D care at the PHC level – the ‘Integrated Care Package (ICP)’– exists and is cost-effective. Further, there is evidence that this integrated care package ((1) structure) leads to improved care processes (2), to health care responsive to people’s need…
Macro-level barriers to scaling up integrated care in three countries
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Integrating chronic care with primary care activities
BACKGROUND: This study investigated the effects of integrating primary chronic care with current healthcare activities in two local government health units (LGHU) of the Philippines on knowledge and skills of the LGHU staff and clinical outcomes for people with diabetes. DESIGN: Integration was accomplished through health service reorganization, (re)distribution of chronic care tasks, and training of LGHU staff. Levels of the staff's pre- and pos…
The effectiveness of text messages support for diabetes self-management
People with diabetes find it difficult to sustain adequate self-management behaviour. Self-Management Support strategies, including the use of mobile technology, have shown potential benefit. This study evaluates the effectiveness of a mobile phone support intervention on top of an existing strategy in three countries, DR Congo, Cambodia and the Philippines to improve health outcomes, access to care and enablement of people with diabetes, with 48…
The growing caseload of chronic life-long conditions calls for a move towards full self-management in low-income countries
BACKGROUND: The growing caseload caused by patients with chronic life-long conditions leads to increased needs for health care providers and rising costs of health services, resulting in a heavy burden on health systems, populations and individuals. The professionalised health care for chronic patients common in high income countries is very labour-intensive and expensive. Moreover, the outcomes are often poor. In low-income countries, the scarce…
Sin obras prominentes en esta página.
The growing caseload of chronic life-long conditions calls for a move towards full self-management in low-income countries
BACKGROUND: The growing caseload caused by patients with chronic life-long conditions leads to increased needs for health care providers and rising costs of health services, resulting in a heavy burden on health systems, populations and individuals. The professionalised health care for chronic patients common in high income countries is very labour-intensive and expensive. Moreover, the outcomes are often poor. In low-income countries, the scarce…
The effectiveness of text messages support for diabetes self-management
People with diabetes find it difficult to sustain adequate self-management behaviour. Self-Management Support strategies, including the use of mobile technology, have shown potential benefit. This study evaluates the effectiveness of a mobile phone support intervention on top of an existing strategy in three countries, DR Congo, Cambodia and the Philippines to improve health outcomes, access to care and enablement of people with diabetes, with 48…
Integrating chronic care with primary care activities
BACKGROUND: This study investigated the effects of integrating primary chronic care with current healthcare activities in two local government health units (LGHU) of the Philippines on knowledge and skills of the LGHU staff and clinical outcomes for people with diabetes. DESIGN: Integration was accomplished through health service reorganization, (re)distribution of chronic care tasks, and training of LGHU staff. Levels of the staff's pre- and pos…
Macro-level barriers to scaling up integrated care in three countries
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
The barriers and facilitators of implementing a national laboratory-based AMR surveillance system in Cambodia
Background: Collecting data on antimicrobial resistance (AMR) is an essential approach for defining the scope of the AMR problem, developing evidence-based interventions and detecting new and emerging resistances. Our study aimed to identify key factors influencing the implementation of a laboratory-based AMR surveillance system in Cambodia. This will add additional insights to the development of a sustainable and effective national AMR surveilla…
Descriptive assessment of Covid-19 responses and lessons learnt in Cambodia, January 2020 to June 2022
As a member state of the International Health Regulations 2005, Cambodia is continuously strengthening its capacity to respond to health emergencies and prevent the international spread of diseases. Despite this, Cambodia’s capacity to prevent, detect and rapidly respond to public health threats remained limited at the onset of the pandemic, as was the case in most countries. This paper describes epidemiological phases, response phases, strategy …
Process evaluations for the scale-up of complex interventions – A scoping review
Background: Process evaluation (PE) is an essential part of testing and adapting complex health interventions (CHIs) and involves evaluating what is implemented (and how), mechanisms of change, and how context affects implementation and health outcomes. To address complex health needs, the focus is on developing new CHIs, rather than on adapting and scaling up existing interventions to promote stronger integration, increased population coverage, …
Cross-country lessons from the SCUBY project on country-specific roadmaps for scaling up integrated care in Belgium, Slovenia, and Cambodia
Background: The aim of the SCUBY project was to provide evidence on the scaling up of an Integrated Care Package (ICP) for type II Diabetes (T2D) and hypertension (HT) across three distinct health systems (Cambodia, Slovenia, and Belgium) through the development and implementation of country-specific roadmaps for a national scale-up strategy. Harnessing mixed-methods research and stakeholder engagement informed the development of country-specific…
Workshop launch of the Ijic Thematic issue on scale-up of integrated care interventions for chronic diseases in three diverse settings
Chronic diseases – such as Type 2 Diabetes (T2D) and hypertension (HTN) – are on the rise globally, regardless of country income levels. A vast range of policy initiatives and interventions stimulates principles of integrated care – to prevent and manage T2D and HTN. These integrated care interventions, shown to be effective in small-scale settings, whilst mostly not technically nor medically complex, tend to be organizationally challenging: they…
Hypertension cascade across three healthcare systems and in relation to the level of implementation of the integrated care package of hypertension
Introduction: Primary health care (PHC) systems across the globe are struggling to produce an effective response to the rising burden of disease related to Type 2 Diabetes (T2D). However, effective T2D care at the PHC level – the ‘Integrated Care Package (ICP)’– exists and is cost-effective. Further, there is evidence that this integrated care package ((1) structure) leads to improved care processes (2), to health care responsive to people’s need…
Integration as organising principle to strengthen quality of chronic care
Introduction & Who Is It For? There is a need to strengthen quality of chronic care to benefit people with chronic conditions (PwCC). Cascades of care for chronic conditions consistently show marked decline from “overall prevalence” to “good control”[1,2]. Qualitative studies demonstrate that user-related barriers redound on care quality, e.g. accessibility (geographically inaccessible, service non-availability), (non-)affordability, and affectiv…
Developing and testing an Evaluation Strategy for Integrated care for Type II Diabetes in three health system contexts (Belgium, Cambodia and Slovenia)
Introduction: Primary health care (PHC) systems across the globe are struggling to produce an effective response to the rising burden of disease related to Type 2 Diabetes (T2D). However, effective T2D care at the PHC level – the ‘Integrated Care Package (ICP)’– exists and is cost-effective. Further, there is evidence that this integrated care package ((1) structure) leads to improved care processes (2), to health care responsive to people’s need…
Country-Specific Roadmaps for Scaling Up Integrated Care in Belgium, Slovenia, and Cambodia – Lessons Learned from the SCUBY Project
Introduction: The SCUBY project aimed to provide knowledge on the scaling-up of an Integrated Care Package (ICP) for type 2 diabetes and hypertension across three distinct health systems (Cambodia, Slovenia, and Belgium). Here, we analyse the different elements of the country-specific scale-up roadmaps to identify similarities and differences, and share lessons learned. Methods: Thematic analysis was used to derive crucial roadmap elements from k…
Quality of care for chronic conditions
There is a growing need to implement high quality chronic care to address the global burden of chronic conditions. However, to our knowledge, there have been no systematic attempts to define and specify aims for chronic care quality. To address this gap, we conducted a scoping review and Delphi survey to establish and validate comprehensive specifications. The Institute of Medicine's (IOM) quality of care definition and aims were used as the foun…
A framework for chronic care quality
Frameworks conceptualising the quality of care abound and vary; some concentrate on specific aspects such as safety, effectiveness, others all-encompassing. However, to our knowledge, tailoring to systematically arrive at a comprehensive care for chronic conditions quality (CCCQ) framework has never been done. We conducted a scoping review and Delphi survey to produce a CCCQ framework, comprehensively delineating aims, determinants and measurable…
Process Evaluations for the Scale-Up of Complex Interventions – a Scoping Review
Introduction: Complex health interventions (CHIs) are common in (public) health and social care practice and policy. A process evaluation (PE) is an essential part of designing and testing CHIs and questions what is implemented, the mechanisms of change, and how context affects implementation. The scale-up of CHIs is challenging and heterogeneous, making the accompanying PE unique to the nature of the inquiry. Methods: We conducted a scoping revi…
Scale-Up of Integrated Care Interventions for Chronic Diseases in Diverse Settings
The global burden of chronic conditions such as Type 2 Diabetes (T2DM) and hypertension (HTN) is increasing exponentially, not only in high-income countries (HIC) but also, and more rapidly, in low- and middle-income countries (LMIC). Health systems worldwide struggle to manage this growing burden. Integrated interventions for prevention, detection, treatment, and control of T2DM and HTN have been previously demonstrated to be effective in contro…
Examining Macro-Level Barriers and Facilitators to Scaling Up Integrated Care from a Complexity Perspective
Examining differences and similarities between barriers in each health system stimulated reciprocal learning. Interactions between health system barriers in specific contexts require further attention to move complex health systems forward
Cost of “Ideal Minimum Integrated Care” for Type 2 Diabetes and Hypertension Patients in Cambodia Context
The projected costs of IMIC for T2D and HTN in Cambodia provides evidence to informed decision-making of relevant actors in implementing scale-up of IMIC for T2D and HTN. The model can be used in countries with similar context to calculate costs of integrated care
Determinants of modern contraceptive use among married and sexually active unmarried women aged 15–49 years old in Cambodia
Using modern contraceptives is essential for promoting economics, limiting the space of pregnancies, and improving maternal and newborn health outcomes. Despite progress in Cambodia, disparities in contraceptive use persist, particularly across socio-demographic and geographic groups. This study examined the prevalence and determinants of modern contraceptive use among married and sexually active women of reproductive age (15–49 years) in Cambodi…
Improving the quality of chronic care through purchasing arrangements in resource-constrained settings
BACKGROUND: There are substantial issues with the quality of care (QoC) received by persons living with chronic conditions, particularly in low- and middle-income countries (LMICs). One possible channel to improve QoC is through financing, specifically purchasing arrangements for health services. This has been actively explored in high-income country settings, generating a growing body of scientific knowledge. OBJECTIVE: To understand the potenti…
Hypertension Cascade Across Three Healthcare Systems and in Relation to the Level of Implementation of the Integrated Care Package
Despite contextual differences between the countries and difficulties in comparability of the cascades, lessons can be learnt from each country's strengths and weaknesses to improve quality of integrated hypertension care
Dialysis deserts in the Philippines
BACKGROUND: In the Philippines, dialysis facilities are clustered in urban centers, leaving patients with Kidney Failure (KF) in rural and geographically isolated regions severely underserved. Despite a national peritoneal dialysis (PD)-first policy since 2014, a decade of implementation has not closed this gap, and no national analysis has examined whether the existing organization of dialysis services drives geographic inequities or how integra…
Understanding the role of family social support in the medication adherence to hypertension treatment in Cambodia
The role of social support from family members was very positive in enhancing medication adherence among patients with HTN in Cambodia. Potential strategic interventions should include focus on establishing an intervention involving family members to provide support for HTN treatment
HEARTS Calidad
HEARTS en las Américas constituye la implementación a mayor escala de la iniciativa mundial HEARTS de la Organización Mundial de la Salud (OMS), con la participación de 33 países, 28 de los cuales han adoptado vías clínicas estandarizadas, y cerca de 10 000 centros de atención primaria implicados. A pesar de los avances, algunos factores como la atención fragmentada, la escasa disponibilidad de dispositivos validados para medir la presión arteria…
Medicine (20 obras) · Health care (18 obras) · Nursing (17 obras) · Computer Science (13 obras) · Political science (13 obras) · Health Systems, Economic Evaluations, Quality of Life (11 obras) · Business (10 obras) · Integrated care (10 obras) · Chronic Disease Management Strategies (9 obras) · Process management (8 obras)