Author + information
- Zuo Huijuan and
- Yun Lin
Examine medical care patterns in patients with hypertension attending primary care clinics, and identify medical care-related correlates of hypertension control.
We conducted a cross-sectional survey of 4520 patients aged ≥18 years with hypertension participating in the hypertensive management intervention at 45 primary care clinics. Information on hypertension medical care pattern and its control were collected at the time of the interview.
Of the 4520 patients (mean age 69±9.6) who participated, 43.1% were male and 56.9% were female. The majority of respondents (68.2%) took antihypertensive agency, 61.7% participated in health education activities more than 1 time per year, 41.7% had participated in the health care management group. The proportion of visited the community clinics more than 4 times per year was 90.4%. There were significant differences between the patients with or without cardiovascular diseases in the frequency of health education, adherent to the health care management group activities, and frequency of attendance at community clinic. There were no differences between the two groups for performing the home blood pressure measurement (HBPM) and adherence to health related activities intervention. The rate of blood pressure control was 53.4%, Participants who reported have participated in the health care management group, who visited the community clinic more than 7 times per year, and who performing HBPM 1-2 times per week were more likely to have hypertension controlled, independent of other factors.
The increase of frequency of attendance at community clinics and improvement for self-management behaviors appears to lead to good control of hypertension.