Cargando…
Government-Expert Joint Intervention with Treatment Algorithm and Improved Hypertension Management and Reduced Stroke Mortality in a Primary-Care Setting
Hypertension management is suboptimal in the primary-care setting of developing countries, where the burden of both hypertension and cardiovascular disease is huge. Therefore, we conducted a government-expert joint intervention in a resource-constrained primary setting of Emin, China, between 2014 a...
Autores principales: | , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8531792/ https://www.ncbi.nlm.nih.gov/pubmed/34691775 http://dx.doi.org/10.1155/2021/9661576 |
_version_ | 1784586940106932224 |
---|---|
author | Heizhati, Mulalibieke Li, Nanfang Zhang, Delian Abulikemu, Suofeiya Chang, Guijuan Hong, Jing Maimaiti, Nuerguli Hu, Junli Wang, Lei Duiyimuhan, Gulinuer |
author_facet | Heizhati, Mulalibieke Li, Nanfang Zhang, Delian Abulikemu, Suofeiya Chang, Guijuan Hong, Jing Maimaiti, Nuerguli Hu, Junli Wang, Lei Duiyimuhan, Gulinuer |
author_sort | Heizhati, Mulalibieke |
collection | PubMed |
description | Hypertension management is suboptimal in the primary-care setting of developing countries, where the burden of both hypertension and cardiovascular disease is huge. Therefore, we conducted a government-expert joint intervention in a resource-constrained primary setting of Emin, China, between 2014 and 2016, to improve hypertension management and reduce hypertension-related hospitalization and mortality. Primary-care providers were trained on treatment algorithm and physicians for specialized management. Public education was delivered by various ways including door-to-door screening. Program effectiveness was evaluated using screening data by comparing hypertension awareness, treatment, and control rates and by comparing hypertension-related hospitalization and total cardiovascular disease (CVD) and stroke mortality at each phase. As results, 313 primary-health providers were trained to use the algorithm and 3 physicians attended specialist training. 1/3 of locals (49490 of 133376) were screened. Compared to the early phase, hypertension awareness improved by 9.3% (58% vs. 64%), treatment by 11.4% (39% vs. 44%), and control rates by 33% (10% vs. 15%). The proportion of case/all-cause hospitalization was reduced by 35% (4.02% vs. 2.60%) for CVD and by 17% (3.72% vs. 3.10%) for stroke. The proportion of stroke/all-cause death was reduced by 46% (21.9% in 2011–2013 vs. 15.0% in 2014–2016). At the control area, the proportion of case/all-cause mortality showed no reduction. In conclusion, government-expert joint intervention with introducing treatment algorithm may improve hypertension control and decrease related hospitalization and stroke mortality in underresourced settings. |
format | Online Article Text |
id | pubmed-8531792 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-85317922021-10-23 Government-Expert Joint Intervention with Treatment Algorithm and Improved Hypertension Management and Reduced Stroke Mortality in a Primary-Care Setting Heizhati, Mulalibieke Li, Nanfang Zhang, Delian Abulikemu, Suofeiya Chang, Guijuan Hong, Jing Maimaiti, Nuerguli Hu, Junli Wang, Lei Duiyimuhan, Gulinuer Int J Hypertens Research Article Hypertension management is suboptimal in the primary-care setting of developing countries, where the burden of both hypertension and cardiovascular disease is huge. Therefore, we conducted a government-expert joint intervention in a resource-constrained primary setting of Emin, China, between 2014 and 2016, to improve hypertension management and reduce hypertension-related hospitalization and mortality. Primary-care providers were trained on treatment algorithm and physicians for specialized management. Public education was delivered by various ways including door-to-door screening. Program effectiveness was evaluated using screening data by comparing hypertension awareness, treatment, and control rates and by comparing hypertension-related hospitalization and total cardiovascular disease (CVD) and stroke mortality at each phase. As results, 313 primary-health providers were trained to use the algorithm and 3 physicians attended specialist training. 1/3 of locals (49490 of 133376) were screened. Compared to the early phase, hypertension awareness improved by 9.3% (58% vs. 64%), treatment by 11.4% (39% vs. 44%), and control rates by 33% (10% vs. 15%). The proportion of case/all-cause hospitalization was reduced by 35% (4.02% vs. 2.60%) for CVD and by 17% (3.72% vs. 3.10%) for stroke. The proportion of stroke/all-cause death was reduced by 46% (21.9% in 2011–2013 vs. 15.0% in 2014–2016). At the control area, the proportion of case/all-cause mortality showed no reduction. In conclusion, government-expert joint intervention with introducing treatment algorithm may improve hypertension control and decrease related hospitalization and stroke mortality in underresourced settings. Hindawi 2021-10-14 /pmc/articles/PMC8531792/ /pubmed/34691775 http://dx.doi.org/10.1155/2021/9661576 Text en Copyright © 2021 Mulalibieke Heizhati et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Heizhati, Mulalibieke Li, Nanfang Zhang, Delian Abulikemu, Suofeiya Chang, Guijuan Hong, Jing Maimaiti, Nuerguli Hu, Junli Wang, Lei Duiyimuhan, Gulinuer Government-Expert Joint Intervention with Treatment Algorithm and Improved Hypertension Management and Reduced Stroke Mortality in a Primary-Care Setting |
title | Government-Expert Joint Intervention with Treatment Algorithm and Improved Hypertension Management and Reduced Stroke Mortality in a Primary-Care Setting |
title_full | Government-Expert Joint Intervention with Treatment Algorithm and Improved Hypertension Management and Reduced Stroke Mortality in a Primary-Care Setting |
title_fullStr | Government-Expert Joint Intervention with Treatment Algorithm and Improved Hypertension Management and Reduced Stroke Mortality in a Primary-Care Setting |
title_full_unstemmed | Government-Expert Joint Intervention with Treatment Algorithm and Improved Hypertension Management and Reduced Stroke Mortality in a Primary-Care Setting |
title_short | Government-Expert Joint Intervention with Treatment Algorithm and Improved Hypertension Management and Reduced Stroke Mortality in a Primary-Care Setting |
title_sort | government-expert joint intervention with treatment algorithm and improved hypertension management and reduced stroke mortality in a primary-care setting |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8531792/ https://www.ncbi.nlm.nih.gov/pubmed/34691775 http://dx.doi.org/10.1155/2021/9661576 |
work_keys_str_mv | AT heizhatimulalibieke governmentexpertjointinterventionwithtreatmentalgorithmandimprovedhypertensionmanagementandreducedstrokemortalityinaprimarycaresetting AT linanfang governmentexpertjointinterventionwithtreatmentalgorithmandimprovedhypertensionmanagementandreducedstrokemortalityinaprimarycaresetting AT zhangdelian governmentexpertjointinterventionwithtreatmentalgorithmandimprovedhypertensionmanagementandreducedstrokemortalityinaprimarycaresetting AT abulikemusuofeiya governmentexpertjointinterventionwithtreatmentalgorithmandimprovedhypertensionmanagementandreducedstrokemortalityinaprimarycaresetting AT changguijuan governmentexpertjointinterventionwithtreatmentalgorithmandimprovedhypertensionmanagementandreducedstrokemortalityinaprimarycaresetting AT hongjing governmentexpertjointinterventionwithtreatmentalgorithmandimprovedhypertensionmanagementandreducedstrokemortalityinaprimarycaresetting AT maimaitinuerguli governmentexpertjointinterventionwithtreatmentalgorithmandimprovedhypertensionmanagementandreducedstrokemortalityinaprimarycaresetting AT hujunli governmentexpertjointinterventionwithtreatmentalgorithmandimprovedhypertensionmanagementandreducedstrokemortalityinaprimarycaresetting AT wanglei governmentexpertjointinterventionwithtreatmentalgorithmandimprovedhypertensionmanagementandreducedstrokemortalityinaprimarycaresetting AT duiyimuhangulinuer governmentexpertjointinterventionwithtreatmentalgorithmandimprovedhypertensionmanagementandreducedstrokemortalityinaprimarycaresetting |