Evaluation on the case management program of hypertension in Zhongguancun community, Beijing

• Published in: Zhōnghuá liúxíngbìng zázhì Vol. 26; no. 6; p. 400
• Main Authors: Lv, Yan-yu, Li, Zi-gui, Wang, Li-hong, Xiao, Feng, Liu, Ying, Wu, Yang-feng, Wang, Zeng-wu, Xie, Xiao-hua, Fan, Zhao-Yang, Sun, Jin-fang, Wang, Guan-bao, Chen, Bo-wen
• Format: Journal Article
• Language: Chinese
• Published: China 01.06.2005
• Subjects: Aged; Case Management - organization & administration; China - epidemiology; Community Health Services - organization & administration; Evaluation Studies as Topic; Female; Humans; Hypertension - epidemiology; Male; Middle Aged; Urban Health; China
• ISSN: 0254-6450

To explore a suitable model regarding community-based case management of hypertension in the urban areas. Based on the guidelines set by the Chinese Hypertension League (CHL), the goal of case management of hypertension was set as: to maintain blood pressure at the normal range. Family doctors were guided to take care of case management. Hypertension patients who had been contracted to the family doctors were followed by a team of family doctors for half a year. After the 6-month intervention, the rate of hypertension under control had increased from 50.44% to 69.84% (P < 0.0001) while the means of systolic blood pressure decreased by 3.72 mm Hg and diastolic blood pressure decreased by 2.67 mm Hg (P < 0.0001) respectively. The means of SBP decreased by 8.59 mm Hg and diastolic blood pressure decreased by 5.26 mm Hg in patients whose baseline blood pressure were not under control. The rates of smoking, higher salt intake and no physical exercise had significantly decreased (P < 0.05). The mean number of hospi