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Health system strengthening and hypertension management in China

Kehui Huang1, Yu Ting Song1, Yong Huan He1

  • 1School of Public Health, Peking University, Xueyuan road 38#, Beijing, 100191 People's Republic of China.

Global Health Research and Policy
|December 5, 2017
PubMed

Insights

Hypertension management in China faces detection challenges, not treatment issues. Limited research shows health system factors positively impact hypertension control, necessitating further study.

Area of Science:

  • Public Health
  • Health Systems Research
  • Epidemiology

Background:

  • Non-communicable diseases are a leading global health burden, with hypertension as a major risk factor.
  • Hypertension prevalence has doubled in China over the past decade, affecting over 300 million individuals.
  • Effective health system strategies are crucial for managing the escalating hypertension epidemic in China.

Purpose of the Study:

  • To systematically review peer-reviewed literature linking health system factors to hypertension management in China.
  • To synthesize current knowledge on improving health systems for hypertension control.
  • To identify research gaps in health system factors influencing hypertension management.

Main Methods:

  • A systematic literature search was conducted on PubMed and CNKI databases up to April 13, 2016.
  • A framework guided the review process, including study screening, data extraction, and quality appraisal.
  • Two independent reviewers performed the literature screening and data extraction.

Main Results:

  • Eleven studies, published between 2010 and 2015, met the inclusion criteria.
  • Research focused on health system governance, financing, information practices, and service delivery mechanisms.
  • No studies addressed physical or human resources for health in relation to hypertension management.

Conclusions:

  • Hypertension management in China is primarily a detection challenge.
  • Existing evidence suggests a positive, yet limited, impact of health system factors on hypertension management outcomes (awareness, treatment, control).
  • Collaborative efforts between health system and epidemiological researchers are essential to advance understanding and improve hypertension control strategies.
Abstract

Keywords:
ChinaHealth systemHypertension management

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