Effect of family doctor contracted service model on hypertension management in community patients
CAO Li-hua
BAI Hui-fu
LI Le
Abstract：Objective To review the management effect of family doctor contracted service model in community patients with essential hypertension (EH).Methods EH patients (n=891, male 518 and female 373), who were received family doctor contracted service model, were chosen from the Beixiaguan Community Health Center in Beijing Haidian Distriction from Jan. 2015 to Dec. 2015. The community electronic health records were established, and all patients were given individualized management according to management of blood pressure (BP) and their own situations for 12 m. The changes of BP, body mass index (BMI), fasting blood glucose (FBG), blood fat, BP compliance rate and life style were compared before and after management.Results The levels of BP, BMI, FBG, triglyceride (TG), total cholesterol (TC) and low-density lipoprotein-cholesterol (LDL-C) decreased significantly, and endogenous creatinine clearance rate (CCr) and urinary micro albuminuria (U-mAlb) were improved significantly after management (allP<0.05). The BP compliance rate was significantly increased after management compared with that before management (94.1%vs. 27.5%,P<0.01). The percentage of smoking and drinking patients decreased, and situations of exercises, salt-taking and treatment compliance were significantly improved after individualized management (allP<0.01).Conclusion The family doctor contracted service model can effectively control BP and risk factors, and improve significantly life style in community patients with EH.
Keywords：Family doctor contracted service modelCommunityEssential hypertensionIndividualized management
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 709-711 )