Utilization of basic public health service among hypertensive and diabetic patients in communities

Abstract

Objective To survey the utilization of basic public health service among hypertensive and diabetic patients in communities. Methods A survey on the utilization of basic public health service was conducted between October 2014 and November 2014, 1 511 patients with hypertension and 1 508 patients with type 2 diabetes aged ≥35 years were randomly selected for the survey from 18 communities in 2 cities and 4 townships of Shandong and Jiangsu provinces in China. Results The survey showed that 87.0% (1 314/1 511) of hypertensive patients and 88.5% (1 334/1 508) of diabetic patients visited community health services within the year, and the blood pressure/blood glucose elevation were found in community health services in 68.5% (1 035/1 511) of the hypertensive patients and 53.3% (804/1 508) of the diabetic patients, respectively. The proportion of participants in community health education was higher in rural areas than that in urban areas [hypertension 73.2% (556/760) vs. 60.3% (453/751), χ2=48.48, P 0.05]. The control rates of hypertension and diabetes were 39.8% (602/1 511) and 39.6% (597/1 508), respectively. 82.5% (1 247/1 511) hypertensive patients and 75.6% (1 140/1 508) diabetic patients selected community clinics for treatment and disease management, and satisfaction rate with primary health care in community clinics were 82.1%(1 077/1 312) and 82.5% (1 101/1 334) respectively. Conclusions High percentage of community clinic choice and visit was found, and most of the patients got the recommendation about health life style. But difference existed between the practice of self-monitoring of blood pressure and fasting blood glucose and control of blood pressure and blood glucose and plan of chronic disease prevention and control. Key words: Hypertension; Diabetes inellitus, type 2; Public health care; Disease management