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November 1, 2015

Effect of the integration pattern of hospital-community on the grade-based management for hypertension in elders.

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Why the study?

Does an integrated hospital-community grade-based management program improve blood pressure control and medication compliance in elderly patients with hypertension?

Population

218 primary senile hypertension patients from a Community Health Service Center in Changsha City

Comparison

Grade-based management on blood pressure with an… vs Baseline (before-and-after comparison)

Design

Cohort, Random sampling for inclusion, but no random allocation to treatment…

Follow-up

6 months

Authors

QYQifeng YiYYYan YangARAN Ru-jun

Discussion

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Member takes

Overview

Supports integrated care for elderly hypertension; hypothesis-generating and requires RCTs before practice change.

Structured PICO

Does an integrated hospital-community grade-based management program improve blood pressure control and medication compliance in elderly patients with hypertension?

P
Population
218 primary senile hypertension patients (male, n=121; female, n=97) from a Community Health Service Center in Changsha City
I
Intervention
Grade-based management on blood pressure with an integration pattern of hospital-community for six months
C
Comparator
Baseline (before-and-after comparison)
O
Outcome
Blood pressure control and compliance (assessed via HILL-BONE high blood pressure compliance scale and self-designed blood pressure monitoring form)surrogate

An integrated hospital-community grade-based management program significantly improved blood pressure control and medication compliance in elderly hypertensive patients.

Cite This Study

Yi et al. (2015) studied this question.

synapsesocial.com/papers/6a835ade2b7aeacfa1d9cff6https://doi.org/10.11817/j.issn.1672-7347.2015.11.016
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Also Consider

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

  1. 1Knowledge and adherence to antihypertensive therapy in primary care: results of a randomized trial2011 · 69 citations
  2. 2Uncontrolled arterial hypertension in primary care – patient characteristics and associated factors2012 · 22 citations
  3. 3Health-related quality of life and antihypertensive medication adherence among older adults2010 · 112 citations
  4. 4Nurse led interventions to improve control of blood pressure in people with hypertension: systematic review and meta-analysis2010 · 251 citations
  5. 5Better compliance to antihypertensive medications reduces cardiovascular risk2010 · 374 citations