The Early Impact of the People-centred Integrated Care on the Hypertension Management in Shenzhen

Liu, Feiyan6,7; Liu, Fangchao8; Lin, Jinchun9; Wang, Jian9; Chen, Jichun8; Li, Jianxin8; Huang, Jianfeng8; Hu, Dongsheng6,10; Lu, Xiangfeng8; Sun, Xizhou5,9; Gu, Dongfeng1,2,3,4,7,8

2023-03-01

10.5334/ijic.6539

International Journal of Integrated Care   影响因子和分区

1568-4156

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 similar to 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.

people-centred integrated care Luohu model hypertension management pharmaceutical expenditure KAP satisfaction

SCI ; SSCI

英语

通讯

Sanming Project of Medicine in Shenzhen[SZSM201601069] ; Shenzhen Science and Technology Innovation Committee[ZDSYS20200810171403013]

Health Care Sciences & Services

Health Care Sciences & Services ; Health Policy & Services

WOS:000931624100001

UBIQUITY PRESS LTD

Web of Science

1.Nanjing Med Univ, Ctr Global Hlth, Sch Publ Hlth, Nanjing, Peoples R China
2.Southern Univ Sci & Technol, Shenzhen Key Lab Cardiovasc Hlth & Precis Med, Shenzhen, Guangdong, Peoples R China
3.Chinese Acad Med Sci & Peking Union Med Coll, Fuwai Hosp, Natl Ctr Cardiovasc Dis, Beijing, Peoples R China
4.Southern Univ Sci & Technol, Sch Publ Hlth & Emergency Management, Shenzhen, Peoples R China
5.Shenzhen Luohu Hosp Grp, 1 Lixin Rd, Shenzhen 518001, Peoples R China
6.Nanjing Med Univ, Ctr Global Hlth, Sch Publ Hlth, Dept Epidemiol & Biostat, Nanjing, Peoples R China
7.Southern Univ Sci & Technol, Shenzhen Key Lab Cardiovasc Hlth & Precis Med, Shenzhen, Peoples R China
8.Fuwai Hosp, Chinese Acad Med Sci & Peking Union Med Coll, Natl Ctr Cardiovasc Dis, Dept Epidemiol, Beijing, Peoples R China
9.Shenzhen Luohu Hosp Grp, Shenzhen, Peoples R China
10.Shenzhen Univ, Hlth Sci Ctr, Sch Publ Hlth, Dept Biostat & Epidemiol, Shenzhen, Peoples R China

Liu, Feiyan,Liu, Fangchao,Lin, Jinchun,et al. The Early Impact of the People-centred Integrated Care on the Hypertension Management in Shenzhen[J]. International Journal of Integrated Care,2023,23(1).

Liu, Feiyan.,Liu, Fangchao.,Lin, Jinchun.,Wang, Jian.,Chen, Jichun.,...&Gu, Dongfeng.(2023).The Early Impact of the People-centred Integrated Care on the Hypertension Management in Shenzhen.International Journal of Integrated Care,23(1).

Liu, Feiyan,et al."The Early Impact of the People-centred Integrated Care on the Hypertension Management in Shenzhen".International Journal of Integrated Care 23.1(2023).