scholarly journals Discussion on the Functional Mechanism of the Community Health Service Center in the Existing Medical Service System

2018 ◽  
Vol 6 (5) ◽  
pp. 367
Author(s):  
Zhi Cheng Niu
Keyword(s):  
Health Service ◽  
Community Health ◽  
Medical Service ◽  
Service System ◽  
Community Health Service ◽  
Service Center ◽  
Functional Mechanism ◽  
Medical Service System

scholarly journals Combined Management can Decrease Blood Pressure: A Health-seeking Behaviors Investigation among Hypertensive Patients in Urban Communities in China

2021 ◽  
Author(s):  
Si Wang ◽  
Kai Liu ◽  
Xin Zhang ◽  
Qingtao Meng ◽  
Xinran Li ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Health Service ◽  
Community Health ◽  
Urban Communities ◽  
Community Health Service ◽  
Service Center ◽  
Health Seeking ◽  
Hypertensive Patients ◽  
Health Seeking Behaviors ◽  
Medical Facilities

Abstract Background: Hypertensive patients can freely choose the informal medical facilities such as pharmacies, community health service centers, and cardiology clinics in secondary or tertiary hospitals, as the routine places for medical treatment in China at present. It is not clear the proportion, influencing factors and the effects on blood pressure (BP) of different health-seeking behaviors among hypertensive patients in urban communities. The aim of the study is to investigate the health-seeking behaviors and the effect on BP of different health-seeking behaviors among hypertensive patients in urban communities in China.Methods: A cross-sectional survey of hypertension was conducted in urban communities in Chengdu. 437 hypertensive patients seeking medical help regularly were sequentially enrolled to fill out the questionnaire on health-seeking behaviors.Results: The average age was 67.1±7.5 years. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were 144.2±17.9 mmHg and 75.4±10.4 mmHg, respectively, and the control rate of BP was 41.0%. Among the hypertensive patients investigated, 5.2% of which chose the informal medical facilities, 62.8% chose the community health service center, 21.5% chose the cardiology clinics in secondary or tertiary hospitals, and 10.5% chose both community health service center and cardiology clinics as the usual places for medical treatment. There were statistical differences in education levels, proportions of home BP monitoring, establishing chronic disease archives in community, medication compliance and side effects of drugs among the four groups. The SBP was 150.9 ±19.8, 145.1±18.0, 143.8±17.5 and 136.3±15.1 mmHg (P=0.007) in the four groups respectively and it was significantly lower in the combined management group than in the other three groups. The control rate of BP was 23.8%, 39.4%, 43.0% and 54.8% (P=0.100), respectively. Compared with patients choosing the informal medical facilities, patients in the combined management group had significant higher BP control rate (OR = 3.679, P = 0.035).Conclusions: Combined management with both community health service center and higher-level hospitals can decrease BP.

scholarly journals Risk factors for the frequent attendance of older patients at community health service centers in China: a cross-sectional study based on stratified sampling

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Nana Li ◽  
Juan Shou
Keyword(s):  
Risk Factors ◽  
Health Service ◽  
Community Health ◽  
Chronic Diseases ◽  
Cross Sectional Study ◽  
Community Health Service ◽  
Service Center ◽  
Sectional Study ◽  
Cross Sectional ◽  
Frequent Attendance

Abstract Background This study aimed to investigate the characteristics of frequent attenders (FAs) among older patients in Shanghai, China, and explore the associated factors. Methods This cross-sectional study was conducted in six community health service centers in Shanghai, China, from August to December 2018 based on stratified sampling. On the basis of our preliminary study, FAs were defined as those attending at least four consultations in a month. A self-administered questionnaire was used to collect the clinicodemographic data of the participants. Social support, pain severity, depression, and anxiety were evaluated using the Social Support Revalued Scale, six-point Behavioral Rating Scale, Patient Health Questionnaire–9, and Generalized Anxiety Disorder Scale, respectively. Results This study included 619 patients aged > 60 years. Among these patients, 155 (25%) were FAs to a community health service center, 366 (59.1%) had 1 or 2 chronic diseases, 179 (28.9%) had ≥3 chronic diseases, 313 (50.4%) opted for a family doctor service, and 537 (86.8%) chose a community health service center for the first consultation. The following were identified as independent risk factors for frequent attendance: widowed status, unmarried status, the presence of > 3 chronic diseases, first consultation at a community health service center, high medical expenses, frequent attendance of the spouses, long-term medication, the use of both traditional Chinese and Western medicine services, and depression. Conclusions This study summarizes the characteristics of older FAs to community health service centers in China and identifies 10 risk factors significantly associated with frequent attendance.

Impact of intelligent family physician optimized coordination model On Primary Hypertension Patients in a Beijing Community (Preprint)

2019 ◽  
Author(s):  
Dan Li ◽  
Xuejuan Wei ◽  
Hao Wu ◽  
Xing-Ying Liu ◽  
Wen-Juan Gao
Keyword(s):  
Health Service ◽  
Community Health ◽  
Chronic Diseases ◽  
Family Physician ◽  
Community Health Service ◽  
Lifestyle Changes ◽  
Categorical Variables ◽  
Service Center ◽  
Patient Centered ◽  
Collaborative Model

BACKGROUND In order to address the challenges of chronic diseases, Beijing Municipal Government promoted intelligent family physician optimized collaborative model ( IFOC ) schema, which is poised to implement the patient-centered healthcare model, supported by intelligent chronic disease management system. The Fangzhuang community health service center is a National Demonstration Community Health Service Center in China, laid emphasis on the patient-centered model service, initiated, piloted and promoted IFOC schema optimize management of chronic diseases. OBJECTIVE To explore the effect of an intelligent family physician optimized collaborative model on selected hypertension patients of Fangzhuang Community in Beijing. METHODS This retrospective study used de-identified data of hypertension patients from the database of Fangzhuang community health service center. A comparative study pre- and post-implementation of IFOC for 2 years was performed to evaluate standardized management rate of blood pressure (BP), BP values, BP control rate, lifestyle changes and blood lipid levels. Continuous variables and categorical variables were analyzed using paired t-test and χ2 test, respectively. RESULTS A total of 6929 hypertension cases met inclusion/exclusion criteria. Compared with the pre-index period, standardized management rate increased from 34.4% to 67.4% in the post-index period (p < 0.001). SBP decreased from 144.10 mmHg to 141.38 mmHg (p < 0.001). BP control rate of the high-risk patients and overall BP control rate enhanced from 35.2% to 48.8%, from 44.7% to 49.9% , respectively (both p < 0.001). BMI decreased from 25.31 kg/m² to 24.65 kg/m².Exercise frequency increased from 2.83 times/week to 5.39 times/week; exercise duration increased from 20.03 min/d to 31.93 min/d; salt intake decreased from 9.56 g/d to 6.81 g/d; amount of cigarette smoking decreased from 11.31/d to 7.16 /d (all p < 0.005). TC decreased from 5.36 mmol/L to 4.65 mmol/L, LDL-C decreased from 3.35 mmol/L to 3.07 mmol/L (both p< 0.001), TG decreased from 1.79 mmol/L to 1.66 mmol/L (p= 0.021). CONCLUSIONS IFOC is an effective model in the management of hypertension and should be promoted and popularized by the Community Health Service Center in China as well as in other developing countries.

scholarly journals Effect of Different Education Modes on Disease Recognition and Compliance in Patients with Type 2 Diabetes

2019 ◽  
Vol 3 (6) ◽  
Author(s):  
Lei Ma ◽  
Shujin Wang ◽  
Lihong Fan ◽  
Xiaoyang Liu ◽  
Tiao Bai ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Health Service ◽  
Community Health ◽  
Community Health Service ◽  
Service Center ◽  
Educational Models ◽  
Education Group ◽  
Group I ◽  
Group Ii

Objective: To explore the impact of different educational models on disease recognition and compliance in patients with type 2 diabetes. Methods: For 100 patients with type 2 diabetes who were filed at the Changyanbao Community Health Service Center and the Electronic City Community Health Service Center from January 2017 to January 2018, the patients with diabetes were divided into 50 patients in the patient education group (group I) and 50 patients in the comprehensive education group (group II) according to the order of establishment. Observe the effects of different educational models on disease recognition and compliance in patients with type 2 diabetes. Results: After the relevant education, the effects of disease recognition and compliance were significantly higher in both groups (P<0.05), but the disease recognition and compliance of the patients in group II were significantly better than patients in group I (P<0.05). Conclusion: Through a variety of diabetes education models, and the network medical platform, patients can effectively improve disease awareness and compliance, thereby further control blood sugar, and improve patient quality of life.

scholarly journals Which Matters More for Medication Adherence Among Disabled People in Shanghai, China: Family Support or Primary Health Care?

2019 ◽  
Vol 56 ◽  
pp. 004695801988317
Author(s):  
Jiaoling Huang ◽  
Zhiyun Jiang ◽  
Tao Zhang ◽  
Luan Wang ◽  
Yiming Chu ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Medication Adherence ◽  
Health Service ◽  
Community Health ◽  
Community Health Service ◽  
Service Center ◽  
Disabled People ◽  
Factors Associated ◽  
Primary Health

Most disabled people have poor health status. They often have multiple diseases requiring continual medication. This study aimed to explore the factors associated with medication adherence among disabled people, with a particular focus on the factors associated with family and primary health care support. A questionnaire survey was conducted among 226 disabled individuals. The analysis was performed using an ordered logistic regression model, including 4 categories of predictor variables. We found that the community health service center played a positive role in improving medication adherence, whereas the role played by the participant’s family was more complicated. Specifically, those obtaining a brochure were more likely to have higher medication adherence (odds ratio [OR] = 2.732, 95% confidence interval [CI] = 1.349-5.532). Compared with those who were married, widowed participants (OR = 0.207, 95% CI = 0.069-0.620) and divorced participants (OR = 0.330, 95% CI = 0.057-1.914) had lower odds of having greater adherence, whereas the odds of having greater adherence for single participants were 1.679 times the same odds for married participants (OR = 1.679, 95% CI = 0.668-4.224). The odds of having greater medication adherence for participants receiving help with prescriptions from a family member were almost 60% lower than these odds for those who did not receive this kind of help (OR = 0.460, 95% CI = 0.216-0.979). Thus, the role played by participants’ family members was both protective and damaging, whereas the role of the community health service center was clearer. These findings merit further exploration.

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