We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
The Early Impact of the People-centred Integrated Care on the Hypertension Management in Shenzhen.
- Authors
FEIYAN LIU; FANGCHAO LIU; JINCHUN LIN; JIAN WANG; JICHUN CHEN; JIANXIN LI; JIANFENG HUANG; DONGSHENG HU; XIANGFENG LU; XIZHUO SUN; DONGFENG GU
- Abstract
Objective: To evaluate the impact of the integrated care in Luohu, China on the hypertension management. Methods: Hypertensive patients aged 35-74 years were recruited by the clusterrandomized sampling method from Luohu district which adopted integrated care and another district that remained original routine care during October 2018-January 2020, with 1353 and 583 patients from integrated and routine care communities, respectively. Health information, knowledge, attitude, and practice (KAP) towards cardiovascular diseases, pharmaceutical expenditure on hypertension and its comorbidities, and healthcare-related satisfaction were collected by questionnaires, with the expenditure additionally verified by hospitals billing records database. Continuous and categorical variables were compared by Wilcoxon test and Chi-square test, respectively. The agestandardized hypertension control rate was calculated by direct standardization. Results: The standardized hypertension management rate in the integrated care communities (45.75%) was significantly higher than that in routine care communities (14.07%) (P < 0.0001), while the age-standardized hypertension control rates were similar (integrated care: 50.3%, routine care: 52.65%, P = 0.518). The pharmaceutical expenditure on hypertension and its comorbidities in the integrated care communities was 264.23 ± 357.38/month/person, lower than that in the routine care communities (354.56 ± 430.59/month/person). Patients in the integrated care had higher KAP scores (73.48 ± 11.54), compared with routine care (68.89 ± 15.51) (P < 0.0001). Moreover, the integrated care communities had higher satisfaction rates towards the convenience of dual referral (90.15% vs. 77.99%) and service quality (95.18% vs. 87.81%) than routine care communities (P < 0.0001). Conclusion: The practice of the integrated care in Luohu has substantially improved the hypertension management and the healthcare-related satisfaction while with relatively low pharmaceutical expenditure. The investigation of long-term impact of the integrated care on hypertension control and management is warranted.
- Subjects
CHINA; HYPERTENSION; STATISTICS; CONFIDENCE intervals; PATIENT-centered care; MANN Whitney U Test; T-test (Statistics); CHI-squared test; RESEARCH funding; INTEGRATED health care delivery; DATA analysis; DATA analysis software
- Publication
International Journal of Integrated Care (IJIC), 2023, Vol 23, Issue 1, p1
- ISSN
1568-4156
- Publication type
Article
- DOI
10.5334/ijic.6539