Abstract
BackgroundCommunity health service center (CHSC) in China is always regarded as a good facility of primary care, which plays an important role in chronic non-communicable disease management. This study aimed to investigate the blood pressure (BP) control rate in a real life CHSC-based management program and its determinants.MethodsThe study enrolled 3191 patients (mean age of 70 ± 10 years, 43% males) in a hypertension management program provided by the Yulin CHSC (Chengdu, China), which had been running for 9 years. Uncontrolled BP was defined as the systolic BP of ≥140 mmHg and/or the diastolic BP of ≥90 mmHg, and its associated factors were analyzed by using logistic regression.ResultsThe duration of stay in the program was 33 ± 25 months. When compared with the BP at entry, the recent BP was significantly lowered (147 ± 17 vs. 133 ± 8 mmHg; 83 ± 11 vs. 75 ± 6 mmHg) and the BP control rate was dramatically increased (32 vs. 85%) (all p < 0.001). The age of >70 years [1.40 (odds ratio), 1.15-1.71 (95% confidence interval)], female gender (0.76, 0.63-0.93), longer stay of >33 months (0.77, 0.63-0.94), doctor in charge (0.97, 0.95-0.99), and the use of calcium channel blocker (1.35, 1.09-1.67) were significantly related to uncontrolled BP at the recent follow up (all p < 0.05).ConclusionsThis CHSC-run hypertension program provides an ideal platform of multi-intervention management, which is effective in achieving higher BP control rate in community patient population. However, the BP control status could be affected by age, gender and adherence of the patients, as well as practice behavior of the doctors.
Highlights
Community health service center (CHSC) in China is always regarded as a good facility of primary care, which plays an important role in chronic non-communicable disease management
Blood pressure (BP) control rate is suggested to be closely associated with provider response to uncontrolled blood pressure (BP) and patient adherence to treatment recommendation [4,5,6]
The present study aimed to evaluate the effectiveness of a CHSC-based BP management program in China and analyze the determinants of suboptimal BP control in this multi-intervention modality
Summary
Community health service center (CHSC) in China is always regarded as a good facility of primary care, which plays an important role in chronic non-communicable disease management. This study aimed to investigate the blood pressure (BP) control rate in a real life CHSC-based management program and its determinants. Treatment and control on hypertension pose a very serious public health problem worldwide, in particular in China and other developing countries [3]. Blood pressure (BP) control rate is suggested to be closely associated with provider response to uncontrolled BP and patient adherence to treatment recommendation [4,5,6]. The present study aimed to evaluate the effectiveness of a CHSC-based BP management program in China and analyze the determinants of suboptimal BP control in this multi-intervention modality
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have