综合管理对中国农村高血压和死亡率的有效性:一项CHHRS研究
Chao Yu1,2,3,4, Yumeng Shi1,3,4, Peixu Zhao1,3,4
1Department of Cardiovascular Medicine, the Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang of Jiangxi, China.
iScience
|September 25, 2024
概括
由公共卫生提供者领导的综合管理 (IM) 在农村高血压患者中显著降低了心血管疾病 (CVD) 和全因死亡率. 这种方法为改善服务不足人群的健康结果提供了一个至关重要的策略.
科学领域:
- 公共卫生 公共卫生
- 心血管医学 心血管医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 高血压是心血管疾病 (CVD) 和死亡的主要危险因素.
- 低收入的农村人口在获得医疗保健和医疗保健成果方面面临差异.
- 有效的管理策略对于降低高血压患者的死亡率至关重要.
研究的目的:
- 评估综合管理 (IM) 模型在降低心脏病特异性和全因死亡率方面的有效性.
- 评估公共卫生保健提供者领导的IM对低收入农村环境中高血压患者的影响.
主要方法:
- 一项队列研究,涉及14234名18岁以上的高血压患者.
- 患者被随机分配到综合管理 (IM) 组或常规护理 (UC) 组.
- 随访时间的中位数为48.0个月.
主要成果:
- 与UC组相比,IM组的CVD特异性和全因死亡率较低.
- 对心脏病特异性和全因死亡率的危险比为IM组分别为0.60和0.62.
- 在IM组中观察到临床显著的死亡率下降.
结论:
- 由公共卫生服务提供者领导的综合管理模式有效降低死亡率.
- 这种模型显示了改善低收入农村人口心血管健康结果的希望.
- 由公共卫生主导的干预措施可以显著影响高血压患者的死亡率.
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