[Analyses on the effect of community-based intervention on hypertension].
OBJECTIVE
To testify the feasibility of management through contract system between general practitioners and patients.


METHODS
In Sichuan province contract was made between general practitioners and hypertension patients in "community health service center-family of hypertension patients" in Yulin community in Chengdu city. After half a year, we analysed the effects of community-based intervention on hypertension.


RESULTS
General means of both SBP and DBP remarkably decreased (P < 0.05) with SBP remarkably decreased by 8.94 mm Hg while DBP decreased by 3.61 mm Hg. After interfered by the model, people whose blood pressure were above normal had a remarkable decrease than before by 14.06 mm Hg (P < 0.05). Rates of hypertension being under control increased from 38.39% to 64.29% (P < 0.001). Rates of awareness on fatness and heredity in hypertensive patients were increasing from 58.06% to 74.19% (P < 0.001). Rate of awareness on risk factors for hypertension was also higher than that of 6 months back (P < 0.05).


CONCLUSIONS
The model of management by signing contract between general practitioners and patients in community, proved to be a successful way in the treatment to control high blood pressure.
School of Public Health, Shanxi Medical University, Taiyuan 030001, China.
Fang
F
Zhao
Jian-Zhong
JZ
Zheng
Bo-Wen
BW
Chen
Xiao-Hua
XH
Xie
D000368:Aged; D002681:China; D003153:Community Health Services; D005260:Female; D006801:Humans; D006973:Hypertension / Q000628:therapy*; D008297:Male; D008875:Middle Aged