Effects and cost-effectiveness of a guideline-oriented primary healthcare hypertension management program in Beijing, China: Results from a 1-year controlled trial

Hypertension Research

Volumn 36, Issue 4, 2013, Pages 313-321

  Wang, Xin ^a   Li, Weiqin ^b   Li, Xian ^c   An, Ning ^a,i   Chen, Hao ^d   Jan, Stephen ^c   Ming, Guanghua ^a   Hua, Qi ^a   Yan, Xiaowei ^e   Sun, Ningling ^f   Zhao, Dong ^g   Wu, Yangfeng ^c,h  

^a FUWAI HOSPITAL   (China)

^b Tianjin Women's and Children's Health Center   (China)

^c GEORGE INSTITUTE FOR GLOBAL HEALTH   (Australia)

^d BEIJING HOSPITAL   (China)

^e PEKING UNION MEDICAL COLLEGE HOSPITAL   (China)

^f PEKING UNIVERSITY PEOPLE S HOSPITAL   (China)

^g CAPITAL MEDICAL UNIVERSITY   (China)

^h PEKING UNIVERSITY HEALTH SCIENCE CENTER   (China)

ⁱ Los Angeles County Tuberculosis Control Program   (United States)

Author keywords

cost effectiveness; evaluation; guideline; intervention

Indexed keywords

ADULT; ARTICLE; BLOOD PRESSURE REGULATION; CLINICAL EFFECTIVENESS; CLINICAL PROTOCOL; COST CONTROL; COST EFFECTIVENESS ANALYSIS; DIASTOLIC BLOOD PRESSURE; FEMALE; FOLLOW UP; HEALTH CARE PERSONNEL; HUMAN; HYPERTENSION; MAJOR CLINICAL STUDY; MALE; PATIENT CARE; PRACTICE GUIDELINE; PRIMARY HEALTH CARE; RANDOMIZED CONTROLLED TRIAL (TOPIC); RURAL AREA; SAMPLE SIZE; URBAN AREA;

AGED; ALCOHOL DRINKING; ANTIHYPERTENSIVE AGENTS; BLOOD PRESSURE; BODY MASS INDEX; CHINA; COST-BENEFIT ANALYSIS; FEMALE; FOLLOW-UP STUDIES; GUIDELINES AS TOPIC; HUMANS; HYPERTENSION; INTENTION TO TREAT ANALYSIS; LIFE STYLE; MALE; MIDDLE AGED; PRIMARY HEALTH CARE; RURAL POPULATION; SAMPLE SIZE; SMOKING; SOCIAL CLASS; URBAN POPULATION;

EID: 84877150083     PISSN: 09169636     EISSN: 13484214     Source Type: Journal    
DOI: 10.1038/hr.2012.173     Document Type: Article

References (34)

1. Wang L. Comprehensive Report, Chinese Nutrition and Health Survey in 2002. (People's Medical Publishing House; Beijing, China, 2005).
2. Wang L, Kong L, Wu F, Bai Y, Burton R. Preventing chronic diseases in China. Lancet 2005; 366: 1821-1824.
3. Yang G, Kong L, Zhao W, Wan X, Zhai Y, Chen LC, Koplan JP. Emergence of chronic non-communicable diseases in China. Lancet 2008; 372: 1697-1705.
4. He J, Gu D, Wu X, Reynolds K, Duan X, Yao C, Wang J, Chen CS, Chen J, Wildman RP, Klag MJ, Whelton PK. Major causes of death among men and women in China. N Engl J Med 2005; 353: 1124-1134.
5. Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJ. Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data. Lancet 2006; 367: 1747-1757.
6. Liu L, Gong L. China Guidelines on Prevention and Management of High Pressure (2005 Revision), 2005.
7. Wu Y, Huxley R, Li L, Anna V, Xie G, Yao C, Woodward M, Li X, Chalmers J, Gao R, Kong L, Yang X. Prevalence, awareness, treatment, and control of hypertension in China: Data from the China National Nutrition and Health Survey 2002. Circulation 2008; 118: 2679-2686.
8. Liu L, Wang W, Yao C. China Guidelines on Prevention and Management of High Pressure (2009 Primary-care). (People's Medical Publishing House; Beijing, China, 2009).
9. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, lzzo Jr JL, Jones DW, Materson BJ, Oparil S, Wright Jr JT, Roccella EJ. The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 Report. Hypertension 2004; 42: 1206-1252.
10. Yusuf S, Reddy S, Ounpuu S, Anand S. Global burden of cardiovascular diseases, part I: general considerations, the epidemiologic transition, risk factors, and impact of urbanization. Circulation 2001; 104: 2746-2753.
11. Wu Y, Yan X, Yao C, Fang X. Practice Guidelines on Prevention and Treatment of Hypertension for Primary Care Physicians. Chinese J Gen Pract 2003; 2: 1-4.
12. Li L, Rao K, Kong L, Yao C. A description on the Chinese national nutrition and health survey in 2002. Chinese J Epidemiol 2005; 7: 478-484.
13. Zhou BF, Wu XG. Manual of Method for Epidemiology Survey of Cardiovascular Disease. Beijing Medical University and Peking Union Medical College United Press; Beijing, China, 1997.
14. Dickinson JC, Warshaw GA, Gehlbach SH, Bobula JA, Muhlbaier LH, Parkerson Jr GR. Improving hypertension control: impact of computer feedback and physician education. Med Care 1981; 19: 843-854.
15. Gullion DS, Tschann JM, Adamson TE, Coates TJ. Management of hypertension in private practice: A randomized controlled trial in continuing medical education. J Contin Educ Health Prof 1988; 8: 239-255.
16. Davis D. Physician education, evidence and the coming of age of CME. J Gen Intern Med 1996; 11: 705-706.
17. Davis D. Does CME work? An analysis of the effect of educational activities on physician performance or health care outcomes. Int J Psychiatry Med 1998; 28: 21-39.
18. Avanzini F, Corsetti A, Maglione T, Alli C, Colombo F, Torri V, Floriani I, Tognoni G. Simple, shared guidelines raise the quality of antihypertensive treatment in routine care. Am Heart J 2002; 144: 726-732.
19. Grimshaw JM, Eccles MP, Walker AE, Thomas RE. Changing physicians' behavior: what works and thoughts on getting more things to work. J Contin Educ Health Prof 2002; 22: 237-243.
20. Walsh JM, McDonald KM, Shojania KG, Sundaram V, Nayak S, Lewis R, Owens DK, Goldstein MK. Quality improvement strategies for hypertension management: a systematic review. Med Care 2006; 44: 646-657.
21. Linn BS. Continuing medical education: impact on emergency room bum care. JAMA 1980; 244: 565-570.
22. Evans CE, Haynes RB, Birkett NJ, Gilbert JR, Taylor DW, Sackett DL, Johnston ME, Hewson SA. Does a mailed continuing education program improve physician performance? Results of a randomized trial in antihypertensive care. JAMA 1986; 255: 501-504.
23. Ray WA, Blazer DG, Schaffner W, Federspiel CF, Fink R. Reducing long-term diazepam prescribing in office practice: a controlled trial of educational visits. JAMA 1986; 256: 2536-2539.
24. Jafar TH, Hatcher J, Poulter N, Islam M, Hashmi S. Community-based interventions to promote blood pressure control in a developing country. Ann Intern Med 2009; 151: 593-601.
25. Davis D. Clinical practice guidelines and the translation of knowledge: the science of continuing medical education. CMAJ 2000; 163: 1278-1279.
26. Wagner EH, Austin BT, Davis C, Hindmarsh M, Schaefer J, Bonomi A. Improving chronic illness care: translating evidence into action. Health Aff (Millwood) 2001; 20: 64-78.
27. Wagner TH, Hu TW, Hibbard JH. The demand for consumer health information. J Health Econ 2001; 20: 1059-1075.
28. Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness: the chronic care model, Part 2. JAMA 2002; 288: 1909-1914.
29. Hibbard JH. Engaging health care consumers to improve the quality of care. Med Care 2003; 41: I61-170.
30. Godfrey MM, Nelson EC, Wasson JH, Mohr JJ, Batalden PB. Microsystems in health care: part 3. Planning patient-centered services. Jt Comm J Qual Patient Saf 2003; 29: 159-170.
31. Kassirer JP. The quality of care and the quality of measuring it. N Engl J Med 1993; 329: 1263-1265.
32. Bodenheimer T. Interventions to improve chronic illness care: evaluating their effectiveness. Dis Manag 2003; 6: 63-71.
33. Hetlevik I, Holmen J, Kruger O. Implementing clinical guidelines in the treatment of hypertension in general practice. Evaluation of patient outcome related to implementation of a computer-based clinical decision support system. Scand J Prim Health Care 1999; 17: 35-40.
34. Wu Y, Wang Z, Gao R. A survey on perception and knowledge of Chinese health care professionals in prevention and control of hypertension. Chinese J Cardiovasc Dis 2004; 32: 264-269.