Contracted services of general practitioner improve management of primary hypertension in community
10.3760/cma.j.issn.1671-7368.2013.10.027
- VernacularTitle:全科医生签约服务在社区原发性高血压患者管理中的作用
- Author:
Zhaohui DU
;
Ying LIANG
- Publication Type:Journal Article
- Keywords:
General practitioner;
Disease management;
Hypertension
- From:
Chinese Journal of General Practitioners
2013;12(10):844-846
- CountryChina
- Language:Chinese
-
Abstract:
Two hundred and forty patients with primary hypertension in Weifang Community were randomly sampled as contract group and another 240 hypertensive patients were sampled as control group.Patients in contract group signed service contract with general practitioners (GPs),who provided individualized service for hypertension management.Patients in control group receive conventional outpatient service for hypertension management.The clinical data of patients before and one year after contracted services were documented and compared with those in control group.The results showed that in contract group the average systolic pressure decreased from 134.60 mm Hg (1 mm Hg =0.133 kPa) to 130.62 mm Hg (P =0.000),reaching-the-target-BP rate increased from 56.3％ to 85.5％ (P =0.000),serum total cholesterol and triglyceride decreased significantly one year after receiving contracted services (P =0.000) ; while these indicators were not significantly changed in control group (all P ＞ 0.05).The results indicate that the contracted services of GPs can improve the effectiveness of hypertension management in community.
