在南非,使用护理级联方法控制高血压的卫生系统表现,2011-2017年
Mariet Benade1,2, Zandile Mchiza3,4, Rafeya V Raquib1
1Department of Global Health, Boston University School of Public Health, Boston, Massachusetts, United States of America.
PLOS global public health
|September 7, 2023
概括
2011年至2017年间,南非在高血压管理方面有所改善,诊断,治疗和控制率增加. 然而,对高血压护理的重大未满足需求仍然存在,特别是在诊断之前.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生系统研究 卫生系统研究
背景情况:
- 高血压是全球发病率和死亡率的主要原因之一.
- 南非面临越来越多的非传染性疾病负担,包括高血压.
- 为了应对这些健康挑战,正在实施整体系统方法.
研究的目的:
- 测量南非卫生系统高血压管理的变化,使用一种新的事件护理级联方法.
- 估计2011年至2017年间高血压诊断,治疗和控制的趋势.
- 为了确定影响高血压控制率的因素.
主要方法:
- 利用了国家收入动态研究 (NIDS) 波段1-5的数据.
- 在四个连续的高血压患者中采用了事件护理级联方法.
- 使用负二项式回归来分析预测高血压控制的因素,控制社会人口统计和医疗保健变量.
主要成果:
- 诊断的高血压从2011年的19.6%增加到2017年的24.4%.
- 在同一时期,治疗率从15.4%上升到23.3%,控制血压从7.1%上升到22.1%.
- 对高血压护理的未满足需求从92.9%降至77.9%,而在诊断前发生的损失很大.
结论:
- 在2011年至2017年期间,高血压护理级联中观察到显著改善.
- 尽管取得了进展,但仍然存在大量未满足的高血压护理需求.
- 整体系统干预对于解决与高血压相关的发病率和死亡率至关重要.
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