Cargando…
A Comparison of the Quality of Hypertension Management in Primary Care Between Shanghai and Shenzhen: A Cohort Study of 3196 Patients
Strong primary care is in urgent need for the management and control of hypertension. This study aimed to compare the quality of hypertensive care delivered by community health centers (CHCs) in Shanghai and Shenzhen. Multistage random sampling method was used to select 4 CHCs in each city as study...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4602719/ https://www.ncbi.nlm.nih.gov/pubmed/25654383 http://dx.doi.org/10.1097/MD.0000000000000455 |
_version_ | 1782394776425857024 |
---|---|
author | Li, Haitao Wei, Xiaolin Wong, Martin C. Yang, Nan Wong, Samuel Y. Lao, Xiangqian Griffiths, Sian M. |
author_facet | Li, Haitao Wei, Xiaolin Wong, Martin C. Yang, Nan Wong, Samuel Y. Lao, Xiangqian Griffiths, Sian M. |
author_sort | Li, Haitao |
collection | PubMed |
description | Strong primary care is in urgent need for the management and control of hypertension. This study aimed to compare the quality of hypertensive care delivered by community health centers (CHCs) in Shanghai and Shenzhen. Multistage random sampling method was used to select 4 CHCs in each city as study settings. A cohort of hypertensive patients under the hypertensive management program in the CHCs was selected from the electronic information system by using a systematic random sampling method. Binary logistic regression models were constructed for comparison between the 2 cities. A total of 3196 patients’ records were assessed. The proportions of hypertensive patients who received advice on smoking cessation (33.8 vs 7.7%, P < 0.001), increasing physical activity (52.4 vs 16.8%, P < 0.001), low-sodium diet (72.0 vs 64.1%, P < 0.001), and regular follow-up (37.8 vs 8.6%, P < 0.001) were higher in Shenzhen than in Shanghai. However, the drug treatment rate in Shenzhen was lower than that in Shanghai (74.2 vs 95.2%, P < 0.001). The hypertension control rate in Shenzhen was lower than that in Shanghai (76.3 vs 83.2%, P < 0.001). Better performance in the process of hypertensive care in terms of increasing physical activity advice, low-sodium diet advice, regular follow-up, and drug prescription was associated with a higher rate of hypertension control. The study indicates that primary care is effective in managing hypertension irrespective of management and operation models of CHCs in urban China. Our study suggests that improvements in the process of hypertensive care may lead to better hypertension control. |
format | Online Article Text |
id | pubmed-4602719 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-46027192015-10-27 A Comparison of the Quality of Hypertension Management in Primary Care Between Shanghai and Shenzhen: A Cohort Study of 3196 Patients Li, Haitao Wei, Xiaolin Wong, Martin C. Yang, Nan Wong, Samuel Y. Lao, Xiangqian Griffiths, Sian M. Medicine (Baltimore) 6400 Strong primary care is in urgent need for the management and control of hypertension. This study aimed to compare the quality of hypertensive care delivered by community health centers (CHCs) in Shanghai and Shenzhen. Multistage random sampling method was used to select 4 CHCs in each city as study settings. A cohort of hypertensive patients under the hypertensive management program in the CHCs was selected from the electronic information system by using a systematic random sampling method. Binary logistic regression models were constructed for comparison between the 2 cities. A total of 3196 patients’ records were assessed. The proportions of hypertensive patients who received advice on smoking cessation (33.8 vs 7.7%, P < 0.001), increasing physical activity (52.4 vs 16.8%, P < 0.001), low-sodium diet (72.0 vs 64.1%, P < 0.001), and regular follow-up (37.8 vs 8.6%, P < 0.001) were higher in Shenzhen than in Shanghai. However, the drug treatment rate in Shenzhen was lower than that in Shanghai (74.2 vs 95.2%, P < 0.001). The hypertension control rate in Shenzhen was lower than that in Shanghai (76.3 vs 83.2%, P < 0.001). Better performance in the process of hypertensive care in terms of increasing physical activity advice, low-sodium diet advice, regular follow-up, and drug prescription was associated with a higher rate of hypertension control. The study indicates that primary care is effective in managing hypertension irrespective of management and operation models of CHCs in urban China. Our study suggests that improvements in the process of hypertensive care may lead to better hypertension control. Wolters Kluwer Health 2015-02-06 /pmc/articles/PMC4602719/ /pubmed/25654383 http://dx.doi.org/10.1097/MD.0000000000000455 Text en Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved. http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. http://creativecommons.org/licenses/by-nc-sa/4.0 |
spellingShingle | 6400 Li, Haitao Wei, Xiaolin Wong, Martin C. Yang, Nan Wong, Samuel Y. Lao, Xiangqian Griffiths, Sian M. A Comparison of the Quality of Hypertension Management in Primary Care Between Shanghai and Shenzhen: A Cohort Study of 3196 Patients |
title | A Comparison of the Quality of Hypertension Management in Primary Care Between Shanghai and Shenzhen: A Cohort Study of 3196 Patients |
title_full | A Comparison of the Quality of Hypertension Management in Primary Care Between Shanghai and Shenzhen: A Cohort Study of 3196 Patients |
title_fullStr | A Comparison of the Quality of Hypertension Management in Primary Care Between Shanghai and Shenzhen: A Cohort Study of 3196 Patients |
title_full_unstemmed | A Comparison of the Quality of Hypertension Management in Primary Care Between Shanghai and Shenzhen: A Cohort Study of 3196 Patients |
title_short | A Comparison of the Quality of Hypertension Management in Primary Care Between Shanghai and Shenzhen: A Cohort Study of 3196 Patients |
title_sort | comparison of the quality of hypertension management in primary care between shanghai and shenzhen: a cohort study of 3196 patients |
topic | 6400 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4602719/ https://www.ncbi.nlm.nih.gov/pubmed/25654383 http://dx.doi.org/10.1097/MD.0000000000000455 |
work_keys_str_mv | AT lihaitao acomparisonofthequalityofhypertensionmanagementinprimarycarebetweenshanghaiandshenzhenacohortstudyof3196patients AT weixiaolin acomparisonofthequalityofhypertensionmanagementinprimarycarebetweenshanghaiandshenzhenacohortstudyof3196patients AT wongmartinc acomparisonofthequalityofhypertensionmanagementinprimarycarebetweenshanghaiandshenzhenacohortstudyof3196patients AT yangnan acomparisonofthequalityofhypertensionmanagementinprimarycarebetweenshanghaiandshenzhenacohortstudyof3196patients AT wongsamuely acomparisonofthequalityofhypertensionmanagementinprimarycarebetweenshanghaiandshenzhenacohortstudyof3196patients AT laoxiangqian acomparisonofthequalityofhypertensionmanagementinprimarycarebetweenshanghaiandshenzhenacohortstudyof3196patients AT griffithssianm acomparisonofthequalityofhypertensionmanagementinprimarycarebetweenshanghaiandshenzhenacohortstudyof3196patients AT lihaitao comparisonofthequalityofhypertensionmanagementinprimarycarebetweenshanghaiandshenzhenacohortstudyof3196patients AT weixiaolin comparisonofthequalityofhypertensionmanagementinprimarycarebetweenshanghaiandshenzhenacohortstudyof3196patients AT wongmartinc comparisonofthequalityofhypertensionmanagementinprimarycarebetweenshanghaiandshenzhenacohortstudyof3196patients AT yangnan comparisonofthequalityofhypertensionmanagementinprimarycarebetweenshanghaiandshenzhenacohortstudyof3196patients AT wongsamuely comparisonofthequalityofhypertensionmanagementinprimarycarebetweenshanghaiandshenzhenacohortstudyof3196patients AT laoxiangqian comparisonofthequalityofhypertensionmanagementinprimarycarebetweenshanghaiandshenzhenacohortstudyof3196patients AT griffithssianm comparisonofthequalityofhypertensionmanagementinprimarycarebetweenshanghaiandshenzhenacohortstudyof3196patients |