Effects of Chronic Disease Management Based on Clinics for Blood Pressure or Glycemic Control in Patients with Hypertension or Type 2 Diabetes Mellitus.
- Author:
Won CHEONG
1
;
Jun YIM
;
Dae Kyu OH
;
Jeong Soo IM
;
Kwang Pil KO
;
Yun Mi KIM
Author Information
1. Department of Preventive Medicine, Graduate School of Medicine, Gachon University, Korea. yim99@gachon.ac.kr
- Publication Type:Original Article
- Keywords:
Hypertension;
Type 2 Diabetes Mellitus;
Education;
Mandatory laboratory test
- MeSH:
Blood Pressure;
Chronic Disease;
Diabetes Mellitus, Type 2;
Follow-Up Studies;
Humans;
Hypertension;
Logistic Models;
National Health Programs;
Odds Ratio
- From:Journal of Agricultural Medicine & Community Health
2013;38(2):108-115
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: This study aimed to examine the effects of chronic disease management program based on clinics for blood pressure control or glycemic control in patients with hypertension or type 2 diabetes mellitus in Incheon. METHODS: An observational follow up study was done on 11,501 patients registrated at clinics from January 1st to December 31st, 2010 in Incheon. Experience of education and mandatory laboratory tests were assessed with the registration data and income status was identified by National Health Insurance data. The odds ratio and 95% confidence intervals were derived from logistic regression models. RESULTS: The experience of education has a positive effect for blood pressure control in the non-control group with hypertension at the time of registration (Odds ratio 1.357, confidence intervals: 1.112~1.655). The experience of mandatory laboratory tests has a positive effect for blood pressure control in the control group with hypertension at the time of registration (Odds ratio 1.738, confidence intervals: 1.387~2.178). But the effects of the experience of education and mandatory laboratory test in patients with type 2 diabetes mellitus were not identified. CONCLUSIONS: This study revealed the relationship between the experience of education or mandatory laboratory testing and blood pressure control in patients with hypertension.