Effect of an intelligent family physician-optimised coordination model program on hypertension management in a...

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 142.96mmHg 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 24.36kg/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.