Effect of an intelligent family physician-optimised coordination model program on hypertension management in a Beijing community
Dan Li A * , Xuejuan Wei B * , Hao Wu B C , Xinying Liu B , Caiying Ge B and Wenjuan Gao BA School of General Practice and Continuing Education, Capital Medical University, Xitoutiao No. 10, Youanmenwai of Fengtai District, Beijing 100069, China.
B Fangzhuang Community Health Service Center, Fengtai District, Capital Medical University, Building No. 1, 3rd quarter of Fang Qun Yuan of Fangzhuang Residence Community, Fengtai District, Beijing 100078, China.
C Corresponding author. Email: wushunzhe@sohu.com
Australian Journal of Primary Health 26(5) 402-409 https://doi.org/10.1071/PY19218
Submitted: 10 November 2019 Accepted: 31 March 2020 Published: 9 June 2020
Abstract
The prevalence of hypertension in China is increasing. To control chronic diseases, the Beijing Municipal Government implemented an intelligent family physician-optimised collaborative model (IFOCM). The present retrospective study assessed the effectiveness of the IFOCM in the management of hypertensive patients at the Fangzhuang Community Health Service Centre, Beijing. Using deidentified data from hypertensive patients, blood pressure (BP), BP control rate, 10-year risks of ASCVD, lifestyle changes and blood lipid levels were compared before and after implementation of the IFOCM. In all, 7332 patients with hypertension were included in the study. Systolic BP decreased from 144.59 to 142.96 mmHg after program implementation (P < 0.001), and the overall BP control rate increased from 41.43% to 46.49% (P < 0.001). The proportion of patients predicted to be at a high 10-year risk of developing atherosclerotic cardiovascular disease decreased from 77.27% to 64.61% (P < 0.001). After program implementation, body mass index decreased (from 24.87 to 24.36 kg/m2; P < 0.001), exercise frequency and intensity increased and salt intake, cigarette smoking, total cholesterol and low-density lipoprotein cholesterol all decreased significantly (P < 0.001). The IFOCM program is effective in managing hypertension and providing timely patient care.
Additional keywords: community health care, comprehensive health care, patient-centred care, personal health services.
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