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Screening for Atrial Fibrillation by Village Doctors in Rural Areas of China: The Jiangsu Province Rural Community AF Project

China has a large population of elderly in rural areas. Village doctors are acting as health-care gatekeepers for the rural elderly in China and are encouraged to provide more long-term care for patients with chronic diseases such as atrial fibrillation (AF). The data of AF registries from the rural...

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Autores principales: Li, Mingfang, Shi, Jiaojiao, Chu, Ming, Shen, Youmei, Zhang, Shimeng, Sun, Xingxing, Zhang, Hengli, Yan, Qing, Gong, Jinlong, Lip, Gregory Y H, Chen, Minglong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9484565/
https://www.ncbi.nlm.nih.gov/pubmed/36133642
http://dx.doi.org/10.2147/VHRM.S379182
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author Li, Mingfang
Shi, Jiaojiao
Chu, Ming
Shen, Youmei
Zhang, Shimeng
Sun, Xingxing
Zhang, Hengli
Yan, Qing
Gong, Jinlong
Lip, Gregory Y H
Chen, Minglong
author_facet Li, Mingfang
Shi, Jiaojiao
Chu, Ming
Shen, Youmei
Zhang, Shimeng
Sun, Xingxing
Zhang, Hengli
Yan, Qing
Gong, Jinlong
Lip, Gregory Y H
Chen, Minglong
author_sort Li, Mingfang
collection PubMed
description China has a large population of elderly in rural areas. Village doctors are acting as health-care gatekeepers for the rural elderly in China and are encouraged to provide more long-term care for patients with chronic diseases such as atrial fibrillation (AF). The data of AF registries from the rural elderly are limited. The present registry aims to provide contemporary data on the current AF-related health status of the rural elderly and the gaps in management of AF by village doctors. This study has two phases. The first phase is a cross-sectional study of AF screening in two rural towns of eastern China. All the residents aged ≥65 years are eligible and will be invited to attend a government-led health examination or an in-house AF screening program. The AF detection rate, the awareness of AF and the usage of oral anticoagulants and smartphones by AF patients, and the ability to diagnose and manage AF by village doctors will be assessed. Participants with AF detected in the first phase are eligible for the second phase. A variety of modes of intensified education will be provided to all AF patients and their family members to enrich their AF-related knowledge. Their village doctors will be offered a lecture-based training program focusing on Atrial fibrillation Better Care (ABC) pathway. Follow-up will be conducted for 1 year. The primary endpoint is the composite of all stroke and all-cause mortality. The first phase of AF screening was conducted between April 2019 and June 2019, and 18,712 participants with the mean age of 73.1±5.8 years were enrolled. The second phase that includes 810 patients with AF, started on 1 May 2019. This study will provide a perspective of primary care system and would indirectly reflect the current status of chronic disease care in rural China.
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spelling pubmed-94845652022-09-20 Screening for Atrial Fibrillation by Village Doctors in Rural Areas of China: The Jiangsu Province Rural Community AF Project Li, Mingfang Shi, Jiaojiao Chu, Ming Shen, Youmei Zhang, Shimeng Sun, Xingxing Zhang, Hengli Yan, Qing Gong, Jinlong Lip, Gregory Y H Chen, Minglong Vasc Health Risk Manag Study Protocol China has a large population of elderly in rural areas. Village doctors are acting as health-care gatekeepers for the rural elderly in China and are encouraged to provide more long-term care for patients with chronic diseases such as atrial fibrillation (AF). The data of AF registries from the rural elderly are limited. The present registry aims to provide contemporary data on the current AF-related health status of the rural elderly and the gaps in management of AF by village doctors. This study has two phases. The first phase is a cross-sectional study of AF screening in two rural towns of eastern China. All the residents aged ≥65 years are eligible and will be invited to attend a government-led health examination or an in-house AF screening program. The AF detection rate, the awareness of AF and the usage of oral anticoagulants and smartphones by AF patients, and the ability to diagnose and manage AF by village doctors will be assessed. Participants with AF detected in the first phase are eligible for the second phase. A variety of modes of intensified education will be provided to all AF patients and their family members to enrich their AF-related knowledge. Their village doctors will be offered a lecture-based training program focusing on Atrial fibrillation Better Care (ABC) pathway. Follow-up will be conducted for 1 year. The primary endpoint is the composite of all stroke and all-cause mortality. The first phase of AF screening was conducted between April 2019 and June 2019, and 18,712 participants with the mean age of 73.1±5.8 years were enrolled. The second phase that includes 810 patients with AF, started on 1 May 2019. This study will provide a perspective of primary care system and would indirectly reflect the current status of chronic disease care in rural China. Dove 2022-09-15 /pmc/articles/PMC9484565/ /pubmed/36133642 http://dx.doi.org/10.2147/VHRM.S379182 Text en © 2022 Li et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Study Protocol
Li, Mingfang
Shi, Jiaojiao
Chu, Ming
Shen, Youmei
Zhang, Shimeng
Sun, Xingxing
Zhang, Hengli
Yan, Qing
Gong, Jinlong
Lip, Gregory Y H
Chen, Minglong
Screening for Atrial Fibrillation by Village Doctors in Rural Areas of China: The Jiangsu Province Rural Community AF Project
title Screening for Atrial Fibrillation by Village Doctors in Rural Areas of China: The Jiangsu Province Rural Community AF Project
title_full Screening for Atrial Fibrillation by Village Doctors in Rural Areas of China: The Jiangsu Province Rural Community AF Project
title_fullStr Screening for Atrial Fibrillation by Village Doctors in Rural Areas of China: The Jiangsu Province Rural Community AF Project
title_full_unstemmed Screening for Atrial Fibrillation by Village Doctors in Rural Areas of China: The Jiangsu Province Rural Community AF Project
title_short Screening for Atrial Fibrillation by Village Doctors in Rural Areas of China: The Jiangsu Province Rural Community AF Project
title_sort screening for atrial fibrillation by village doctors in rural areas of china: the jiangsu province rural community af project
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9484565/
https://www.ncbi.nlm.nih.gov/pubmed/36133642
http://dx.doi.org/10.2147/VHRM.S379182
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