United Nations Relief and Works Agency for Palestine Refugees in the Near East, UNRWA HQ (A), Amman, Jordan.
Trop Med Int Health. 2012 Sep;17(9):1163-70. doi: 10.1111/j.1365-3156.2012.03048.x. Epub 2012 Jul 29.
Recording and reporting systems borrowed from the DOTS framework for tuberculosis control can be used to record, monitor and report on chronic disease. In a primary healthcare clinic run by UNRWA in Amman, Jordan, serving Palestine refugees with hypertension, we set out to illustrate the method of cohort reporting for persons with hypertension by presenting on quarterly and cumulative case finding, cumulative and 12-month analysis of cohort outcomes and to assess how these data may inform and improve the quality of hypertension care services.
This was a descriptive study using routine programme data collected through E-Health.
There were 97 newly registered patients with hypertension in quarter 1, 2012, and a total of 4130 patients with hypertension ever registered since E-Health started in October 2009. By 31 March 2012, 3119 (76%) of 4130 patients were retained in care, 878 (21%) had failed to present to a healthcare worker in the last 3 months and the remainder had died, transferred out or were lost to follow-up. Cumulative and 12-month cohort outcome analysis indicated deficiencies in several components of clinical performance related to blood pressure measurements and fasting blood glucose tests to screen simultaneously for diabetes. Between 8% and 15% of patients with HT had serious complications such as cardiovascular disease and stroke.
Cohort analysis is a valuable tool for the monitoring and management of non-communicable chronic diseases such as HT.
从结核病控制的 DOTS 框架中借鉴的记录和报告系统可用于记录、监测和报告慢性病。在约旦安曼的近东救济工程处开办的一个基层医疗诊所中，为高血压的巴勒斯坦难民提供服务，我们旨在通过展示高血压患者的季度和累计病例发现、累计和 12 个月的队列结果分析方法来说明队列报告方法，并评估这些数据如何为高血压护理服务的质量提供信息和改进。
这是一项使用通过电子健康收集的常规方案数据进行的描述性研究。
2012 年第一季度有 97 名新登记的高血压患者，自 2009 年 10 月电子健康启动以来，共有 4130 名高血压患者登记在册。截至 2012 年 3 月 31 日，4130 名患者中有 3119 名（76%）仍在接受护理，878 名（21%）在过去 3 个月内未向医护人员就诊，其余患者死亡、转出或失访。累计和 12 个月的队列结果分析表明，在与血压测量和空腹血糖测试同时筛查糖尿病有关的临床表现的几个方面存在缺陷。8%至 15%的高血压患者有严重并发症，如心血管疾病和中风。
队列分析是监测和管理高血压等非传染性慢性病的有用工具。
