Effectiveness of Adherence to Standardized Hypertension Management by Primary Health Care Workers in China: a Cross-sectional Survey 3 Years after the Healthcare Reform

Biomed Environ Sci. 2016 Dec;29(12):915-921. doi: 10.3967/bes2016.123.

Abstract

The standardized hypertension management provided by primary health care workers is an important part of China's recent health care reform efforts. Investigating 5,116 hypertensive patients from a cross-sectional survey conducted by the Chinese Center for Disease Control and Prevention in 2012, this study found that adherence to standardized hypertension management is associated with positive effects on hypertension- related knowledge, healthy lifestyle behavior, antihypertensive medical treatments, and blood pressure control. It will be necessary to provide primary health care workers with sufficient training and reasonable incentives to ensure the implementation and effectiveness of hypertension management.

Keywords: China; Community health workers; Hypertension; Primary health care.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • China
  • Cross-Sectional Studies
  • Female
  • Guideline Adherence / statistics & numerical data*
  • Health Care Reform / legislation & jurisprudence
  • Health Care Surveys
  • Health Knowledge, Attitudes, Practice*
  • Healthy Lifestyle*
  • Humans
  • Hypertension / psychology*
  • Hypertension / therapy*
  • Male
  • Middle Aged
  • Patient Compliance* / psychology
  • Patient Compliance* / statistics & numerical data