Hypertension Control in China: Translation from Clinical Trial to Real-World Application - Preliminary Outcomes

To evaluate the adaptability of the China Rural Hypertension Control Project (CRHCP) - a multifaceted village doctor-led intervention for blood pressure control in rural China - for widespread implementation in extension projects. This project comprises two phases: a pilot project and an extension project. It builds upon our CRHCP model, implementing a multi-level comprehensive hypertension management strategy targeting the general population across rural areas and township communities in China, aligning with national policies and local initiatives. In the pilot project, 5,088 hypertensive patients were enrolled. At baseline, 1,227 subjects (25.7%) met the 140/90 mmHg target for blood pressure control. After 13 months of intervention, the blood pressure control rate (<140/90 mmHg) reached 72.5%. In the extension project, 244,046 hypertensive patients were identified through screening of 1,002,845 residents in Changtu, Wujiang, and Tongguan. Average blood pressure decreased from 146.8/88.4 mmHg to 140.4/82.6 mmHg, and the proportion of patients with controlled blood pressure increased significantly from 20.8% to 44.0%. The translation of the CRHCP model into a public health program has demonstrated potential for enhancing hypertension control in selected regions of China. While these initial results are encouraging, further research and long-term evaluation are needed to confirm their effectiveness and adaptability. If proven successful, this model may offer a replicable framework for improving public health outcomes in other low- and middle-income countries and regions.