Abstract
Background: Dyslipidemia is a factor that affects the occurrence and development of many chronic diseases. With its prevalence increasing each year, dyslipidemia has caused substantial disease and economic burdens in China and around the world. Appropriate health management is imperative for people with risk factors for dyslipidemia. We established a new model of health management services (integration of general practice and personalized disease prevention in health management, IGPDP) to more appropriately manage people with risk factors for dyslipidemia. Methods: The experiment was conducted in Shenyang, Liaoning Province, China. We selected 5 administrative districts with populations of more than 100,000. Twenty-three community health service centers with a daily average of more than 50 outpatients were selected. A total of 5,032 subjects with risk factors for dyslipidemia who met the inclusion criteria were included in this study. Using prospective cohort study methods, the subjects were followed up for 24 months. The subjects were randomly divided into the control and test groups, and they received traditional health management services or IGPDP. We analyzed and compared changes in disease prevention, health protection, and health promotion between the two groups.Results: In terms of disease prevention, we found that after the intervention, subjects' behavioral risk factors (smoking habits, diets, sedentary lifestyles) and health literacy improved. In terms of health protection, we observed a decrease in Body mass index (BMI), a gradual improvement in blood lipid levels, and an overall increase in quality of life scores. In terms of health promotion, after the intervention, the proportion of the subjects who were willing to accept the contracted services of general practitioners increased.Conclusion: IGPDP can effectively cultivate healthy lifestyles, improve health literacy, reduce biological risk factors, decrease risk of dyslipidemia, and improve quality of life of subjects. IGPDP is conducive to improving the quality of the service of general practitioners, increasing the trust of the general public, and facilitating the establishment of a hierarchical medical system.