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May 25, 2021BMC Cardiovascular DisordersOpen Access

Combined management can decrease blood pressure: an investigation of health-seeking behaviors among hypertensive patients in urban communities in China

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Why the study?

The proportions, influencing factors, and effects of different health-seeking behaviours on blood pressure among hypertensive patients in urban communities in China were not clear.

Does combined management with both community health service centres and higher-level hospitals improve blood pressure control in urban hypertensive patients?

Population

437 hypertensive patients seeking medical help regularly in urban communities in Chengdu

Comparison

Combined management vs community health service centres vs informal facilities vs cardiology clinics

Design

Cross-sectional survey

Authors

SWSi WangKLKai LiuXZXin Zhang

Discussion

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Member takes

Overview

Combined management was associated with lower BP; leaves open whether integrated care models improve control in prospective trials.

Structured PICO

Does combined management with both community health service centres and higher-level hospitals improve blood pressure control in urban hypertensive patients?

P
Population
437 hypertensive patients seeking medical help regularly in urban communities in Chengdu, China, mean age 67.1 ± 7.5 years.
I
Intervention
Combined management (seeking medical treatment at both community health service centres and cardiology clinics in secondary or tertiary hospitals)
C
Comparator
Seeking medical treatment at community health service centres alone, informal medical facilities alone, or cardiology clinics alone
O
Outcome
Blood pressure levels (systolic and diastolic) and control rate of blood pressuresurrogate

Combined management utilizing both community health service centres and higher-level hospitals is associated with lower systolic blood pressure in urban hypertensive patients.

Cite This Study

Wang et al. (2021) studied this question.

synapsesocial.com/papers/6a7199ffa528af2d65c4239bhttps://doi.org/10.1186/s12872-021-02073-8
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1[Study on effects of community-based management of hypertension patients aged ≥35 years and influencing factors in urban and rural areas of China, 2010].2016 · 6 citations
  2. 2Short-term hypertension management in community is associated with long-term risk of stroke and total death in China2016 · 10 citations
  3. 3[Effect of the integration pattern of hospital-community on the grade-based management for hypertension in elders].2015 · 2 citations
  4. 4Differences in the treatment and control of hypertension in urban and rural residents of the northeastern region of the People’s Republic of China: a cross-sectional study2018 · 10 citations
  5. 5Improved Blood Pressure Control to Reduce Cardiovascular Disease Morbidity and Mortality: The Standardized Hypertension Treatment and Prevention Project2016 · 167 citations