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学科主题临床医学
Effects and cost-effectiveness of a guideline-oriented primary healthcare hypertension management program in Beijing, China: results from a 1-year controlled trial
Wang, Xin1; Li, Weiqin2; Li, Xian3; An, Ning1; Chen, Hao4; Jan, Stephen5; Ming, Guanghua1; Hua, Qi1; Yan, Xiaowei6; Sun, Ningling7; Zhao, Dong8; Wu, Yangfeng3,9
关键词Cost-effectiveness Evaluation Guideline Intervention
刊名HYPERTENSION RESEARCH
2013-04-01
DOI10.1038/hr.2012.173
36期:4页:313-321
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Peripheral Vascular Disease
研究领域[WOS]Cardiovascular System & Cardiology
关键词[WOS]CONTINUING MEDICAL-EDUCATION ; PHYSICIAN PERFORMANCE ; RANDOMIZED-TRIAL ; CHRONIC ILLNESS ; BLOOD-PRESSURE ; RISK-FACTORS ; QUALITY ; DISEASES ; IMPACT ; IMPROVE
英文摘要

Hypertension control rates are unacceptably low in China. The present study demonstrates if a customized, guideline-oriented training program can cost-effectively improve hypertension management in primary healthcare. Four typical community health centers in Beijing were selected and randomized to intervention or control (one urban and one rural each). A sample of 140 patients with hypertension and blood pressure uncontrolled was recruited from each center. Primary healthcare providers in intervention centers provided management to the recruited patients for 1 year after receiving training with customized hypertension management guidelines, and primary healthcare providers in control provided with usual care. Intention-to-treat analysis showed that hypertension control (systolic blood pressure (SBP) <140 mm Hg and diastolic blood pressure (DBP) <90 mm Hg)) rate was significantly higher in interventions than controls at month 3 (42.1% vs. 34.3% in urban and 30.7% vs. 10.0% in rural centers) and the trend increased to month 12 (70.7% vs. 40.0% in urban and 72.9% vs. 27.9% in rural); P-values by logistic mixed model were all <0.001 for both urban and rural after adjustment for baseline multiple variables including blood pressure. Mean reductions of SBP and DBP were significantly larger in interventions. The intervention was cost-saving, with an average incremental cost-saving of US$ 20.3 per patient in urban sites and $ 7.0 per patient in rural sites. Corresponding results from per-protocol analysis were very similar. The customized, guideline-oriented hypertension management program in primary healthcare in China effectively improved blood pressure control and was cost-saving. Hypertension Research (2013) 36, 313-321; doi: 10.1038/hr.2012.173; published online 15 November 2012

语种英语
WOS记录号WOS:000317105700006
引用统计
被引频次:5[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/54229
专题北京大学第二临床医学院
作者单位1.George Inst Global Hlth, Sydney, NSW, Australia
2.Peking Univ, Peoples Hosp, Beijing 100871, Peoples R China
3.Tianjin Womens & Childrens Hlth Ctr, Tianjin, Peoples R China
4.George Inst Global Hlth, Beijing, Peoples R China
5.Beijing Hosp, Beijing, Peoples R China
6.Chinese Acad Med Sci, Fuwai Hosp, Beijing 100730, Peoples R China
7.Beijing Union Med Coll Hosp, Beijing, Peoples R China
8.Capital Univ Med Sci, Beijing An Zhen Hosp, Beijing, Peoples R China
9.Peking Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Beijing 100871, Peoples R China
推荐引用方式
GB/T 7714
Wang, Xin,Li, Weiqin,Li, Xian,et al. Effects and cost-effectiveness of a guideline-oriented primary healthcare hypertension management program in Beijing, China: results from a 1-year controlled trial[J]. HYPERTENSION RESEARCH,2013,36(4):313-321.
APA Wang, Xin.,Li, Weiqin.,Li, Xian.,An, Ning.,Chen, Hao.,...&Wu, Yangfeng.(2013).Effects and cost-effectiveness of a guideline-oriented primary healthcare hypertension management program in Beijing, China: results from a 1-year controlled trial.HYPERTENSION RESEARCH,36(4),313-321.
MLA Wang, Xin,et al."Effects and cost-effectiveness of a guideline-oriented primary healthcare hypertension management program in Beijing, China: results from a 1-year controlled trial".HYPERTENSION RESEARCH 36.4(2013):313-321.
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