Abstract
BackgroundWe aimed to investigate the management of hypertension in Shanghai, China and to examine whether there was any difference of hypertension management among people enrolled in different health insurances.MethodsIn this cross-sectional study, a total of 31,531 residents were selected in Shanghai, using a randomized, stratified, multi-stage sampling method, and were asked to provide their status of hypertension, condition of hypertension management, health insurances and other demographic information. A weighted propensity score model was used to adjust confounders and to analyze the differences on hypertension management among hypertension patients enrolled in different health insurances.ResultsIn Shanghai, most hypertension patients achieved good management of hypertension. However, patients enrolled in the New Cooperative Medical Scheme or the Urban Resident Basic Medical Insurance scheme were more likely to achieve publicity of precautionary knowledge about hypertension (OR = 2.36 [95 % CI :1.96,2.85] and 1.28 [95 % CI:1.12,1.45], respectively) and had their blood pressure under control (OR = 1.33 [95 % CI :1.09,1.62] and 1.22 [95 % CI:1.05,1.42], respectively) than patients enrolled in the Urban Employee Basic Health Insurance scheme.ConclusionThe study provided a comprehensive description of hypertension in Shanghai, China. To support the management of hypertension, publicity of hypertension prevention knowledge should be improved, especially to people enrolled in the Urban Employee Basic Health Insurance scheme.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-016-3627-3) contains supplementary material, which is available to authorized users.
Highlights
We aimed to investigate the management of hypertension in Shanghai, China and to examine whether there was any difference of hypertension management among people enrolled in different health insurances
Our results demonstrated that patients enrolled in Urban Resident Basic Medical Insurance scheme (URBMI) or New Cooperative Medical Scheme (NCMS) were more likely to achieved publicity of precautionary knowledge on hypertension than patients enrolled in The urban employee basic health insurance scheme (UEBMI)
The study is a large-scale, population based study to investigate the differences of hypertension management among people enrolled in different health insurances in Shanghai, China
Summary
We aimed to investigate the management of hypertension in Shanghai, China and to examine whether there was any difference of hypertension management among people enrolled in different health insurances. Effective management of hypertension is a core requirement of any health system [5] and previous studies demonstrated that the lacking in insurance coverage is a risk factor of management of hypertension [6, 7]. Health insurance can improve hypertension management by increasing the number of people receiving all categories of prevention services without much cost and. In China, residents may achieve different types of health insurance based on their employment status, household registration systems and living locations [8]. In China, there are three main types of health insurance, the Urban Employee Basic Health Insurance scheme (UEBMI, launched in 1998), the New Cooperative Medical Scheme (NCMS; launched in 2003) and the Urban Resident Basic Medical Insurance scheme (URBMI; launched in 2007). The URBMI is for urban residents without formal employment [9]
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