Evaluation on programs regarding the community-based management of hypertension and type 2 diabetes mellitus patients in eight provinces, China
10.3760/cma.j.issn.0254-6450.2014.01.009
- VernacularTitle:中国8省(自治区)高血压和2型糖尿病患者健康管理服务实施现状
- Keywords:
Hypertension;
Diabetes mellitus,type 2;
Community health services;
Disease management
- From:
Chinese Journal of Epidemiology
2014;35(1):35-39
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the situation and efficacy of community-based management programs on hypertension and type 2 diabetes mellitus patients in primary health service centers.Methods In eight provinces being selected,a stratified multistage random sampling method was used to survey 5 116 cases of hypertension patients and 3 586 cases of type 2 diabetes mellitus patients aged over 35 years who had been under the management program for over 1 year.Face-to-face questionnaire interview and physical and biochemical examination were applied to collect related information,blood pressure and situation of glucose control.Results The rates of management on hypertension patients and type 2 diabetes mellitus patients were 23.6％ (urban:17.1％,rural:28.1％,x2=27 195.33,P＜0.001) and 19.1％ (urban:14.1％,rural:23.8％,x2=7 423.67,P＜0.001) while the standardized management rates were 61.1％ (urban:63.3％,rural:58.6％,x2=11.82,P＜0.001) and 59.0％ (urban:61.5％,rural:55.6％,x2 =12.66,P＜ 0.001),respectively.Rate on blood pressure control among hypertension patients and the rate on fasting glucose control on type 2 diabetes mellitus patients were 50.3％ (urban:62.0％,rural:36.6％,x2=329.31,P＜0.001) and 53.9％ (urban:60.8％,rural:44.7％,x2=90.53,P＜0.001),respectively.Satisfaction rates for the management service of the hypertension patients and type 2 diabetes mellitus patients were 83.0％ (urban:84.7％,rural:80.7％,x2=13.42,P＜0.001) and 84.5％ (urban:88.0％,rural:79.5％,x2=43.90,P＜0.001),respectively.Conclusion Efficiency was achieved to some extent in managing hypertension and type 2 diabetes mellitus patients in primary health service centers.Further improvement was expected on rates regarding management,standardized management and control on both blood pressure and glucose.
