Yuan Li1, Duofu Ren2, Pingfei Ding3, Qin Zhang4, Juan Zhang1, Wenhui Shi1, Jing Wu5, Xiaoming Shi1, Xiaofeng Liang6. 1. Division of Non-Communicable Disease Control and Community Health, Chinese Center for Disease Control and Prevention, Beijing 102206, China. 2. Institute of Medical Nutrition Research,Medical College,Qingdao University. 3. Shangyu Center for Disease Control and Prevention of Zhejiang Province. 4. Huai'an Center for Disease Control and Prevention of Jiangsu Province. 5. Division of Non-Communicable Disease Control and Community Health, Chinese Center for Disease Control and Prevention, Beijing 102206, China. Email: wujingcdc@163.com. 6. Chinese Center for Disease Control and Prevention.
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%, χ² = 27 195.33, P < 0.001)and 19.1% (urban:14.1%, rural:23.8%, χ² = 7 423.67, P < 0.001)while the standardized management rates were 61.1% (urban:63.3%, rural:58.6%, χ² = 11.82, P < 0.001)and 59.0% (urban:61.5%, rural:55.6%, χ² = 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%, χ² = 329.31, P < 0.001)and 53.9% (urban:60.8%, rural:44.7%, χ² = 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% , χ² = 13.42, P < 0.001) and 84.5% (urban:88.0% , rural:79.5% , χ² = 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.
OBJECTIVE: To understand the situation and efficacy of community-based management programs on hypertension and type 2 diabetes mellituspatients 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 hypertensionpatients and 3 586 cases of type 2 diabetes mellituspatients 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 hypertensionpatients and type 2 diabetes mellituspatients were 23.6% (urban:17.1%, rural:28.1%, χ² = 27 195.33, P < 0.001)and 19.1% (urban:14.1%, rural:23.8%, χ² = 7 423.67, P < 0.001)while the standardized management rates were 61.1% (urban:63.3%, rural:58.6%, χ² = 11.82, P < 0.001)and 59.0% (urban:61.5%, rural:55.6%, χ² = 12.66, P < 0.001), respectively. Rate on blood pressure control among hypertensionpatients and the rate on fasting glucose control on type 2 diabetes mellituspatients were 50.3% (urban:62.0%, rural:36.6%, χ² = 329.31, P < 0.001)and 53.9% (urban:60.8%, rural:44.7%, χ² = 90.53, P < 0.001), respectively. Satisfaction rates for the management service of the hypertensionpatients and type 2 diabetes mellituspatients were 83.0% (urban:84.7% , rural: 80.7% , χ² = 13.42, P < 0.001) and 84.5% (urban:88.0% , rural:79.5% , χ² = 43.90, P < 0.001), respectively. CONCLUSION: Efficiency was achieved to some extent in managing hypertension and type 2 diabetes mellituspatients in primary health service centers. Further improvement was expected on rates regarding management, standardized management and control on both blood pressure and glucose.