[Current status of requirements in the design of healthcare facilities to ensure accessibility for patients with disabilities]. / Estado actual de los requerimientos en el diseño de centros sanitarios para asegurar accesibilidad a pacientes con discapacidad.

BACKGROUND AND OBJECTIVE: People with disabilities are one of the groups that usually frequent healthcare centers, so it is essential to attend to their specific needs, especially from the point of view of universal accessibility, safety and healthcare quality. The aim of the study is to summarize the available evidence on the needs of groups of patients with some type of disability in access, navigation and stay during the reception of healthcare in various health centers and to identify successful solutions. MATERIALS AND METHODS: A scoping review had been designed, based on a literature review without time limit in three databases (PubMed, WOS, and Embase). RESULTS: Of the 2562 articles identified, 11 were included. Recommendations for improvement in the design of healthcare services focused on the following aspects: improving access to primary care centers; navigation, signage, and orientation in the hospital environment; elevator design; hospital room bathroom design; meeting the needs of wheelchair users; importance of the participation of the patient with a disability; involvement of stakeholders in the design process; and the need for appropriate policies to ensure accessibility to buildings. CONCLUSIONS: The promotion of artistic programs in healthcare settings and the participation of people with disabilities in the design process of healthcare settings could provide beneficial solutions. More studies are needed, given the scarcity of evidence found, to ensure that care for this group is based on criteria of patient safety, universal accessibility, healthcare quality and humanization.

Vulnerabilidad de la infraestructura sanitaria en relación a la Covid-19 en el distrito de Castilla-Piura 2021- 2022

Objetivo: Analizar la relación entre la infraestructura sanitaria: equipos y suministros, ambientes construidos, humanización de la atención y la COVID-19 dentro del Desarrollo Urbano Sostenible en el distrito de Castilla - Piura en el año 2022. Métodos: Adopta el paradigma hermenéutico, con un diseño de tipo transversal, de tipo cualitativo, en base a encuestas aplicadas a una muestra estadística del sector de Castilla; a su vez, se realizaron entrevistas no estructuradas, dirigidas a expertos profesionales de la salud. Resultados: Se observa que el 100% de los hospitales de II y III nivel y centros de salud en Piura, se encuentran en condiciones inadecuadas para lograr la eficiencia y la efectividad en la atención, tanto en infraestructura sanitaria, equipos y suministros, como en los ambientes construidos y humanizados. Conclusión: El estado deficiente de los establecimientos de salud, ha determinado el incremento de casos de COVID-19, durante la pandemia, porque no cuentan con ambientes adecuados para atender diferentes patologías así como por la inadecuada zonificación de las áreas de aislamiento respiratorio y de vectores, las que deben responder a la realidad de esta región; esta situación plantea la necesidad de formular un plan de contingencia regional, la misma que garantice atención prioritaria y de calidad frente a situaciones de emergencia, así como la vivida durante la pandemia.

Objective: The relationship between the sanitary infrastructure, considering three aspects such as: equipment and supplies; built environments; humanization of care against COVID-19 in the district of Castilla - Piura in the year 2022. Methods: It adopts the Hermeneutic paradigm, with a cross-sectional, qualitative design, based on surveys applied to a statistical sample from the Castilla sector, unstructured interviews were conducted, aimed at health professional experts. Results: It is observed that 100% of the II and III level hospitals and health centers in Piura are in inadequate conditions to achieve efficiency and effectiveness in care, both in infrastructure-equipment, in built environment and humanized. Conclusion: The deficient state of health establishments has determined the increase in cases of COVID 19, during the pandemic, because they do not have adequate environments to treat different pathologies, as well as due to inadequate zoning of respiratory and vector isolation areas, those that must respond to the reality of this Region; This situation raises the need to formulate a regional contingency plan, the same one that guarantees priority and quality care in emergency situations, as well as life during the pandemic.

Impact of automated dispensing cabinets on dispensing errors, interruptions and pillbox preparation time.

AIM: This work aimed to evaluate the impact of automated dispensing cabinets on the dispensing error rate, the number of interruptions, and pillbox preparation times. METHODS: A prospective observational study was conducted across 16 wards in two departments (internal medicine and surgery) of a large teaching hospital. The study compared eight wards using automated dispensing cabinets (ADCs) and eight using a traditional ward stock (TWS) method. A disguised observation technique was used to compare occurrences of dispensing errors and interruptions and pillbox preparation times. The proportion of errors was calculated by dividing the number of doses with one or more errors by the total number of opportunities for error. Wards participating in the 'More time for patients' project-a Lean Management approach-were compared with those not participating. The potential severity of intercepted errors was assessed. RESULTS: Our observations recorded 2924 opportunities for error in the preparation of 570 pillboxes by 132 nurses. We measured a significantly lower overall error rate (1.0% vs 5.0%, p=0.0001), significantly fewer interruptions per hour (3.2 vs 5.7, p=0.008), and a significantly faster mean preparation time per drug (32 s vs 40 s, p=0.0017) among ADC wards than among TWS wards, respectively. We observed a significantly lower overall error rate (1.4% vs 4.4%, p=0.0268) and a non-significantly lower number of interruptions per hour (3.8 vs 5.1, p=0.0802) among wards participating in the 'More time for patients' project. CONCLUSIONS: A high dispensing-error rate was observed among wards using TWS methods. Wards using ADCs connected to computerised physician order entry and installed in a dedicated room had fewer dispensing errors and interruptions and their nurses prepared pillboxes faster. Wards participating in a Lean Management project had lower error rates than wards not using this approach.

Using risk analysis to ensure patients' medication safety during hospital relocations and evacuations.

OBJECTIVES: To ensure patient safety and the preparedness of medication processes during hospital relocations and evacuations by using Failure Modes, Effects, and Criticality Analysis (FMECA). METHODS: The relocation of six regional hospitals to a single building, resulting in 400 beds being moved, could be compared with an emergency evacuation. An FMECA was performed on the hospital group's internal medicine and intensive care units (IMU and ICU), examining how medication processes would be affected by a hospital relocation or evacuation. RESULTS: We identified 59 hospital relocation and 68 evacuation failure modes. Failure modes were ranked based on their criticality index (CI; range 1-810). The higher the CI, the greater the patient-related risk. Average initial IMU and ICU hospital relocation CI scores were 160 (range 105-294) and 201 (range 125-343), respectively, subsequently reduced to 32 (-80%) and 49 (-76%) after mitigation measures. Average initial IMU and ICU evacuation CI scores were 319 (range 245-504) and 592 (range 441-810), respectively, subsequently reduced to 194 (-39%) and 282 (-52%). Most mitigation measures (17/22), such as for example checklists, could be implemented in both situations. Due to their unpredictable nature, five measures were specific to evacuation situations. CONCLUSIONS: This study highlights the value of using an FMECA on medication processes to anticipate potential negative impacts on patient safety during hospital relocations or evacuations. Preparation for a hospital relocation can provide useful knowledge and an opportunity to test mitigation measures that might prove useful in evacuations.

Assessment of Noise Exposure and Its Characteristics in the Intensive Care Unit of a Tertiary Hospital.

Noise generated in the intensive care unit (ICU) adversely affects both critically ill patients and medical staff. Recently, several attempts have been made to reduce ICU noise levels, but reliable and effective solutions remain elusive. This study aimed to provide evidence on noise distributions in the ICU to protect patient health. For one week, we measured noise levels in isolated rooms, open units, and nursing stations in medical, surgical, and pediatric ICUs, respectively. We additionally analyzed the noise generated by medical equipment that is frequently used in ICUs. The median (interquartile range) noise exposure level (dBA) of all ICU units was 54.4 dB (51.1-57.5) over 24 h. The highest noise exposure was noted in the surgical ICU's daytime open unit at 57.6 dB (55.0-61.1). Various ICU medical devices continuously generated low-frequency noise. Mechanical noise levels ranged from a minimum of 41 dB to a maximum of 91 dB. It was also confirmed that patient-monitoring devices generated loud, high-frequency noise at 85 dB. ICU noise levels were much higher than expected. Noise reduction that focuses on behavior modification of medical staff has limited potential; instead, structural improvements should be considered to reduce the transmission of noise.

Relationship of the Built Environment on Nursing Communication Patterns in the Emergency Department: A Task Performance and Analysis Time Study.

INTRODUCTION: The physical layout of the emergency department affects the way in which patients and providers move within the space and can cause substantial changes in workflow and, therefore, affect communication patterns between providers. There is no 1 ED design that enables the best patient care, and quantitative studies looking at ED design are limited. The goal of this study was to examine how different ED designs, centralized and decentralized, are associated with communication patterns among health care professionals. METHODS: A task performance, direct observation time study was used. By developing a novel tablet-based digital mapping tool using a cloud-based mapping platform (ArcGIS), data on provider actions and interactions were collected and mapped to a precise location within the emergency department throughout an entire nursing shift. RESULTS: The difference in the duration of nurse-physician interactions between the 2 ED designs was statistically significant. Within the centralized design, nurse-physician interactions totaled 14 minutes and 38 seconds compared with 30 minutes and 11 seconds in the decentralized design (t = 2.31, P = 0.02). More conversations between nurses and physicians occurred inside the patient's room in the decentralized design. DISCUSSION: Our findings suggest that the ED design affects communication patterns among health care providers and that the design has the potential to affect the quality of patient care.

[Evidence-based design accreditation and certification program for healthcare architecture reaches Spain]. / La acreditación y certificación del diseño basado en evidencias para la arquitectura sanitaria llega a España.

EDAC stands for Evidence-based Design Accreditation and Certification and identifies individuals able to apply the evidence-based design process for healthcare buildings. This process consists of basing design decisions on credible research to achieve the best possible outcomes. What differentiates this design process from others is its emphasis on using research both to inform a priori and to evaluate a posteriori design decision. The evidence-based design term appeared printed for the first time in 2000 but its origins date back to three key factors that happened years before: i) the evidence-based medicine movement, ii) the patientcentred care movement and, iii) a published paper that related a design strategy (the windows of the hospitalisation patient bedroom) with the recovery process of the patients. This scientific link between design and clinical outcomes not only evidenced the potential of architectural design on influencing patients' recovery but also the financial impact for the healthcare institutions. While in other countries evaluation mechanisms are already in place to improve the efficiency and performance of healthcare buildings, in Spain only one person has obtained the EDAC program. To what extent can this knowledge be incorporated into the Spanish design process for healthcare buildings and will this influence architects to confront their social responsibility with the healthcare system?

El acrónimo EDAC corresponde a las siglas inglesas Evidence-based Design Accreditation and Certification e identifica a las personas capaces de aplicar el proceso de diseño basado en evidencias en la arquitectura sanitaria. Este proceso consiste en fundamentar las decisiones de diseño en investigaciones creíbles con el fin de conseguir los mejores resultados posibles. Su principal característica reside en el énfasis del uso de la investigación, tanto para informar a priori como para evaluar a posteriori las decisiones de diseño. El término Evidence-Based Design apareció impreso por primera vez en 2000, aunque sus orígenes se remontan a tres factores clave que sucedieron años atrás: i) el movimiento de la medicina basada en evidencias; ii) el movimiento de los cuidados centrados en los/las pacientes; iii) la publicación de un estudio científico que relacionaba una estrategia de diseño (las ventanas de la habitación de hospitalización) con el proceso de recuperación de los pacientes. Este vínculo empírico entre el diseño y los resultados médicos puso en evidencia no solo el potencial que tiene el diseño arquitectónico en la recuperación de pacientes, sino la repercusión económica que supone para las instituciones sanitarias. Mientras que en otros países ya se utilizan mecanismos de evaluación de la arquitectura sanitaria para mejorar la efectividad de sus infraestructuras, en España tan solo una persona cuenta con la certificación EDAC. ¿Hasta dónde se podría llegar si se incorporara este conocimiento al proceso de diseño y los/las arquitectos/as afrontaran su responsabilidad social para con el sistema sanitario?

A Multicomponent Intervention to Encourage Stair Use in Municipal Buildings.

PURPOSE: Evaluate the incremental impact of environmental stairwell enhancements on stair usage in addition to prompts. DESIGN: Phased, nonrandomized, quasi-experimental intervention. SETTING: Two 6-story and one 8-story municipal government office buildings-each with 2 stairwells. PARTICIPANTS: Approximately 2800 municipal employees and 1000 daily visitors. INTERVENTION: All stairwells received door wraps and point-of-decision and wayfinding prompts. Environmental enhancements were installed in 1 stairwell in each of the 2 buildings: wall paint, upgraded stair treads and handrails, artwork, light-emitting diode (LED) lighting, fire-rated glass doors, and removal of security locks on at least the ground floor. MEASURES: Staff surveys and focus groups, electronic and direct measures of stair and elevator use occurred at baseline and over 3 years of phased implementation and follow-up. ANALYSIS: Change in the proportion of vertical movement by stairs using χ2 analysis. RESULTS: The prompts were associated with a significant increase in stair use (odds ratio [OR] = 1.36; 95% confidence interval [CI]: 1.31-1.41), with an average absolute increase of 3.2%. Environmental enhancements were associated with an additional significant increase in stair use (OR = 1.31; 95% CI: 1.25-1.37) beyond prompts alone with an average absolute increase of a further 3.5% that was sustained for 1 year. The initial increases in stair use with prompts alone were not sustained. CONCLUSION: Implementing environmental stairwell enhancements in office buildings increased stair usage in a sustained manner beyond that achieved by prompts alone.

Where is the patient's chair? Differences in general practitioner consultation room layouts - an exploratory questionnaire.

BACKGROUND: Consultation room design varies from country to country. The layout of a general practitioner's (GP's) consulting room may influence the physician's or patient's experience. The aim of this study is to explore and investigate the layout of GP's consulting rooms around the world and to describe any significant differences. METHODS: Between 3rd July and 2nd August 2018, an internet-based questionnaire on Google Docs was distributed by email, social media and WhatsApp platforms to several worldwide rural medicine groups.  Analysis of an internet-based questionnaire to explore possible layouts of consultation rooms within practices was performed. The questionnaire was designed with three distinct sections: first, a GP demographic profile including gender, year of graduation from medical school, country of graduation, and type of practice (private or public); second, questions relating to the office layout; third, a section for questionnaire feedback.   Results: 502 responses to the questionnaire were received; 65.3% women and 34.7% men.  The most common layout in Europe and America was where the physician and the patient were separated by a desk. The layout where the physician and the patient had a 90º angle facing each other was the most commonly used layout in Asia-Pacific and Africa. For GPs who graduated before 1990 and between 1990-2010, the layout where the table was between the patient and physician was preferred. However, physicians graduating after 2010 preferred a layout with the physician and the patient with a 90º angle facing each other. CONCLUSION: The position of the GP's desk differs between and within countries as well as the gender of the physician and year of graduation. Next steps should focus on gathering an even greater breadth of GP input, as well as comparing and contrasting those to the preferences of our patients and communities.

Is the Birthing Unit Design Spatial Evaluation Tool valid for diverse groups?

BACKGROUND: Awareness of the impact of the built environment on health care outcomes and experiences has led to efforts to redesign birthing environments. The Birth Unit Design Spatial Evaluation Tool was developed to inform such improvements, but it has only been validated with caseload midwives and women birthing in caseload models of care. AIM: To assess the content validity of the tool with four new participant groups: Birth unit midwives, Aboriginal or Torres Strait Islander women; women who had anticipated a vaginal birth after a caesarean; and women from refugee or culturally and linguistically diverse backgrounds. METHODS: Participants completed a Likert-scale survey to rate the relevance of The Birth Unit Design Spatial Evaluation Tool's 69 items. Item-level content validity and Survey-level validity indices were calculated, with the achievement of validity set at >0.78 and >0.9 respectively. RESULTS: Item-level content validity was achieved on 37 items for birth unit midwives (n=10); 35 items for Aboriginal or Torres Strait Islander women (n=6); 33 items for women who had anticipated a vaginal birth after a caesarean (n=6); and 28 items for women from refugee or culturally and linguistically diverse backgrounds (n=20). Survey-level content validity was not demonstrated in any group. CONCLUSION: Birth environment design remains significant to women and midwives, but the Birth Unit Design Spatial Evaluation Tool was not validated for these participant groups. Further research is needed, using innovative methodologies to address the subconscious level on which environment may influence experience and to disentangle the influence of confounding factors.

Legibility of floor plans and wayfinding satisfaction of residents in Care and Attention homes in Hong Kong.

OBJECTIVE: Focusing on Hong Kong Care and Attention homes which provide residential care, meals, personal care and limited nursing care for older people, this study aimed to understand the impact of floor plans' legibility (layout and complexity) on residents' wayfinding satisfaction and self-reported health status. METHODS: A questionnaire survey was conducted in nine Care and Attention homes. Space syntax, a well-established method, was used to evaluate the legibility of their floor plans via calculating the integration value. RESULTS: Familiarity with Care and Attention homes did not influence the residents' satisfaction with wayfinding. The integration value had a significant impact on residents' satisfaction with wayfinding. No relationship was observed between integration value and self-reported health status. CONCLUSION: Increasing complexity in floor plans appears to negatively affect residents' wayfinding satisfaction. These data suggest that circulation patterns should be improved for better wayfinding.

Construction of a healing environment in hospitals:practice and experience / 中华医院管理杂志

This article discussed the construction of healing environment in hospitals with reference to the author′s experience in the construction of large hospitals in the last 10 years.This environment requires to improve such aspects as the direct hospital environment identification, privacy, safety,ecology, comfort,artistry and humanism of the hospital.It also depends on improving the indirect environment for the medical workers who apply significant impact on the mentality of patients.These efforts contribute greatly to building a hospital of healing environment.

The effectiveness of environment assessment tools to guide refurbishment of Australian residential aged care facilities: A systematic review.

OBJECTIVE: To determine applicability of environment assessment tools in guiding minor refurbishments of Australian residential aged care facilities. METHOD: Studies conducted in residential aged care settings using assessment tools which address the physical environment were eligible for inclusion in a systematic review. Given these studies are limited, tools which have not yet been utilised in research settings were also included. Tools were analysed using a critical appraisal screen. RESULTS: Forty-three publications met the inclusion criteria. Ten environment assessment tools were identified, of which four addressed all seven minor refurbishment domains of lighting, colour and contrast, sound, flooring, furniture, signage and way finding. Only one had undergone reliability and validity testing. CONCLUSION: There are four tools which may be suitable to use for minor refurbishment of Australian residential aged care facilities. Data on their reliability, validity and quality are limited.

Surveying Medical Students to Gauge Library Use and Plan for a New Medical Library.

In spring 2015, a 45-question survey was e-mailed to 585 medical students at the University at Buffalo (UB) in order to gauge their use of library spaces, resources, equipment, and services at UB's Health Sciences Library and plan for a library space located within a new medical school building. Students' self-reported use of the library during the academic year is presented along with the features they would like to see in their ideal library space. The responses generated in the survey are a barometer of current use and will be used in the planning process.

Development of an Easy-to-Use Tool for the Assessment of Emergency Department Physical Design.

Physical design of the emergency department (ED) has an important effect on its role and function. To date, no guidelines have been introduced to set the standards for the construction of EDs in Iran. In this study, we aim to devise an easy-to-use tool based on the available literature and expert opinion for the quick and effective assessment of EDs in regards to their physical design. For this purpose, based on current literature on emergency design, a comprehensive checklist was developed. Then, this checklist was analyzed by a panel consisting of heads of three major EDs and contradicting items were decided. 178 crude items were derived from available literature. The Items were categorized in to three major domains of Physical space, Equipment, and Accessibility. The final checklist approved by the panel consisted of 163 items categorized into six domains. Each item was phrased as a "Yes or No" question for ease of analysis, meaning that the criterion is either met or not.

[Decorative elements in the medical imaging area improve patients' perception of pleasantness]. / Los elementos decorativos ambientales en el Área de Imagen Médica mejoran la percepción de agradabilidad del paciente.

OBJECTIVES: To evaluate the sensation of pleasantness perceived by patients attended in the radiology department in response to decorative elements hung on the walls in the waiting rooms and in the hallways of the imaging area. MATERIAL AND METHODS: The material resources comprised works of art in the form of "magic windows" representing scenes from nature installed on the ceilings and walls of the waiting area and hallways of the imaging area. Patients were given a brief questionnaire with general data and questions (sadness-cheerfulness, coldness-warmth, darkness-light, and pessimism-optimism) about their perception of the decorative elements. RESULTS: Of the 150 questionnaires collected, 142 were filled out correctly. The overall health of these patients was good in 84 (56%), not bad in 58 (39%), and poor in 8 (5%). The idea seemed very good to 70 patients (47%), good to 58 (39%), not bad to 8 (5%), indifferent to 11 (7%), bad to 1 (1%), and very bad to 2 (1%). As far a patients' mobility, 119 patients (79%) walked into the department, 18 (12%) were wheeled in on beds, and 13 (9%) needed wheelchairs. CONCLUSIONS: We found a high level of satisfaction with the decorative elements.

Architecture capabilities to improve healthcare environments.

BACKGROUND: The physical environment of healthcare buildings has great importance in issues such as patient safety, functional efficiency, user satisfaction, healthcare outcomes, and energy and resources consumption. OBJECTIVES: The present study assesses physical environments of Iranian healthcare buildings. MATERIALS AND METHODS: This study was performed using a descriptive-analytical method. Data collection was carried out via a written questionnaire. RESULTS: Based on the findings of this study, "functional efficiency", "user satisfaction", "environmental issues", "patient safety", "accountability in incidents and disasters", and "flexibility" are regarded as the most issues in the country's hospitals. Also, none of the parameters is "without any problem" and has a "desirable status". CONCLUSIONS: According to the responses, all of the healthcare buildings in this research had flaws in their physical environment, which require attention. Thus, it is necessary to review and pay more attention to the architecture of the country's healthcare buildings.

Estrutura física das unidades de endoscopia: a realidade do reprocessamento / The physical structure of endoscopy units: the reality of reprocessing / Estructura física de las unidades de endoscopía: la realidad del reprocesamiento

Pesquisa descritiva realizada nas unidades de Endoscopia Digestiva Alta em 2007, que objetivou analisar a estrutura física da área destinada ao reprocessamento dos endoscópios no município de Goiânia-GO. Os dados foram obtidos e registrados em um check-listmediante observação direta da estrutura física e dos recursos materiais do local de reprocessamento dos endoscópios.Constatou-se que a maioria (95,0%) das unidades de endoscopia possui um fluxo de reprocessamento inadequado. Deficiências estruturais foram observadas nos locais de reprocessamento, tais como tipo de revestimento, piso, forro contínuo, presença de pia para higienização das mãos, ausência de exaustor e ponto de ar comprimido. Concluiu-se que as deficiências estruturais identificadas potencializam o risco químico e biológico tanto para o profissional, quanto para o usuário e ainda podem comprometer o reprocessamento adequado dos endoscópios.

This descriptive study was performed at several digestive endoscopy units in 2007, with the objective to analyze the physical structure of the area devoted to endoscope reprocessing at units located in Goiânia-GO. The data were obtained through direct observation of the physical structure and the material resources of the endoscope reprocessing area and recording these characteristics on a checklist.Most (95.0%) endoscopy units have an inadequate reprocessing flow. It was observed that the reprocessing areas had structural deficiencies in terms of the type of wall covering, floor tiles, continuous ceilings, the presence of a sink for hand washing, no exhaust fans and compressed air outlets. In conclusion, the identified structural deficiencies increase the chemical and biological risk for professionals and clients, and may also compromise the adequacy of endoscope reprocessing.

Investigación descriptiva realizada en unidades de Endoscopía Digestiva Alta en 2007, objetivó analizar la estructura física del área destinada al reprocesamiento de endoscopios en unidades de endoscopía del municipio de Goiânia-GO. Datos obtenidos mediante observación directa de estructura física y recursos materiales del local de reprocesamiento de endoscopios y registrados en check-list. La mayoría (95,0%) de unidades endoscópicas posee un flujo de reprocesamiento inadecuado. Fueron observadas deficiencias estructurales en los locales, como tipo de revestimiento, techado, piso, revestimiento continuo, presencia de pileta para higienización de manos, ausencia de exhaustor y compresor de aire. Se concluye en que las deficiencias estructurales verificadas potencian riesgos químicos y biológicos para el profesional y el paciente, y puede también comprometer el reprocesamiento adecuado de los endoscopios.

The Effect of Re-building of Public Health Facilities on the Hypertension Control in the Rural Area / 農村醫學 地域保健

OBJECTIVES: The purpose of this study was to determine the effect of public health facilities rebuilding on the hypertension control in the rural area. METHOD: 6 health centers and 59 health subcenters in some Chung-chung province was surveyed. And 29,503 patients were finally selected who had records of prescription about hypertension at list once in those health facilities from July 1th, 2005 to June 30th, 2006. Demographic variable of patients and whether medical doctor was a medical specialist or not, and whether the facilities were recently rebuilded or not was measured. RESULTS: The Overall control rate was 53.9%. Women had higher hypertension control rate than men. And 60s and 70s years old are had higher hypertension control rate than 40s and 80s years old. Patients who had been treated from medical specialist had higher hypertension control rate than general doctor. And patient who treated in rebuilded public health facilities had higher hypertension control rate. CONCLUSIONS: Rebuilding of public health facilities were related to increasing control rate of hypertensive patients.