Higher blood pressure control rate in a real life management program provided by the community health service center in China

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• 作者：Xiao-Jing Chen ; Xi-Lian Gao ; Gui-Ying You ; Jing Jiang ; Xiao-Lin Sun…
• 关键词：Hypertension ; Blood pressure ; Disease management ; Public health ; Community
• 刊名：BMC Public Health
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：14
• 期：1
• 全文大小：630 KB
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  Decision
• 刊物主题：Public Health; Medicine/Public Health, general; Epidemiology; Environmental Health; Biostatistics; Vaccine;
• 出版者：BioMed Central
• ISSN：1471-2458

文摘

Background 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. Methods The study enrolled 3191 patients (mean age of 70?±-0?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 ?40?mmHg and/or the diastolic BP of ?0?mmHg, and its associated factors were analyzed by using logistic regression. Results The duration of stay in the program was 33?±-5?months. When compared with the BP at entry, the recent BP was significantly lowered (147?±-7 vs. 133?±-?mmHg; 83?±-1 vs. 75?±-?mmHg) and the BP control rate was dramatically increased (32 vs. 85%) (all p--.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--.05). Conclusions This 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.