Effects of different modes of hypertension management on blood pressure control in patients with hypertension / 中国卫生政策研究

ABSTRACT

Objective: To study the effect of different hypertension management modes on the blood pressure control in patients with hypertension. Methods:Three community health service centers in Xinjiang city were includ-ed in the study, which used different modes of hypertension management. Center A carried out the basic public health services,but did not provide medical services; Center B provided both the basic public health services and medical services,Center B also established the responsible doctor system; Center C carried out basic public health services and provided medical services based on the regional medical association. The blood pressure of patients with hypertension from the three centers were investigated in July 2013 and in December 2015. Using Logistic regression to analyze the effect of different management modes on blood pressure control. Results: The average SBP of patients from Center A increased by 0.89mmHg (P >0.05), the average BP increased by 0.67mmHg (P >0.05), the blood pressure control rate decreased by 2.54% (P>0.05); The average SBP of patients from Center B increased by 5.31mmHg (P<0.01), the average BP decreased by 1.70mmHg (P>0.05), the blood pressure control rate increased by 2.70% (P>0.05);The average SBP of patients from Center C decreased by 1.54mmHg(P>0.05), the average BP decreased by 2.97mmHg (P<0.01), the blood pressure control rate increased by 16.24% (P<0.05).According to the results of the random effect model,the likelihood of blood control of Center A is 0.27 times that of Center C (P<0.05),the likelihood of blood control of Center B is 0.41 times that of Center C (P>0.05). Conclusion: the hypertension management mode based on regional medical association can effectively control the blood pressure of patients with hypertension.