Effect of"internet+"family doctor contract service model on controlling risk factors of atherosclerotic cardiovascular disease in young and middle-aged patients in the community
10.3969/j.issn.1672-8467.2025.04.006
- VernacularTitle:"互联网+"家庭医生签约服务模式对社区中青年患者动脉粥样硬化性心血管疾病危险因素的防控效果
- Author:
Ying WANG
1
;
Xiao-mei YANG
1
;
Ling-da SHEN
1
Author Information
1. 上海市杨浦区新江湾城社区卫生服务中心全科 上海 200438
- Publication Type:Journal Article
- Keywords:
Internet;
family doctor;
community medical care;
atherosclerosis;
cardiovascular disease;
risk factor;
control effect
- From:
Fudan University Journal of Medical Sciences
2025;52(4):513-518
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy of"internet+"family doctor contract service model on controlling risk factors related to atherosclerotic cardiovascular disease(ASCVD)such as hypertension,dyslipidemia,and diabetes in young and middle-aged patients in the community.Methods A total of 231 young and middle-aged patients with ASCVD who were contracted and treated regularly in Shanghai Yangpu District Xinjiangwancheng Community Health Service Center from Jan to Dec 2020.According to the different intervention models,they were divided into the traditional group receiving the conventional family doctor contract service and the Internet group taking"internet+"family doctor contract service mode for intervention.The systolic blood pressure,diastolic blood pressure,fasting plasma glucose(FPG),low density lipoprotein(LDL-C),triglyceride(TG)and total cholesterol(TC)were compared within and between the two groups before intervention,three months after intervention,and one year after intervention,to evaluate the control effects of the two intervention modes.Results The 231 patients,of which 113 cases in traditional group and 118 cases in Internet group,were recruited in the study.there were no significant differences in gender,age and proportions of hypertension,diabetes and dyslipidemia between the two groups.Before intervention,there were no significant differences in systolic blood pressure,diastolic blood pressure,FPG,LDL-C,TG and TC between the two groups.Three months after intervention,the systolic blood pressure,diastolic blood pressure,FPG,LDL-C,TG and TC of the two groups were significantly lower than those before the intervention(all P<0.05),and the systolic blood pressure and diastolic blood pressure of the Internet group were significantly lower than those of the traditional group(all P<0.05),but there was no significant difference between the two groups in FPG,LDL-C,TG and TC.One year after the intervention,the systolic blood pressure,diastolic blood pressure,FPG,LDL-C,TG and TC of the patients in the two groups decreased significantly compared with those before intervention(all P<0.05),while the Internet group decreased more significantly(all P<0.05).Conclusion Compared with the traditional contract model,"internet+"family doctor contract service had better management effect on ASCVD-related risk factors in young and middle-aged patients in the community,and benefits the patients to a higher degree.
