Lee Eun-Whan, Kim Hee-Sun, Yoo Bit-Na, Lee Eun-Ji, Hyun Park Jae
Office of Ecology & Environment Research, Gyeonggi Research Institute, Suwon, Republic of Korea.
Office of Policy Research for Future Healthcare, National Evidence-Based Healthcare Collaborating Agency, Seoul, Republic of Korea.
Iran J Public Health. 2022 Mar;51(3):624-633. doi: 10.18502/ijph.v51i3.8939.
Recently, the South Korean government has adopted a primary-care-based chronic disease management program as a national task. This study aimed to evaluate this program by focusing on hypertension patients and examine the effect of this program on their health.
Overall, 863 subjects who responded to a survey and 1,716 subjects in administrative data were included. Effects of the program were evaluated based on intermediate outcomes (motivation for self-management, changes in health behavior, medical service utilization, duration of consultation with physicians, and medication compliance) and outcomes (disease management, service satisfaction, and physician-patient relationship, change of blood pressure). Furthermore, we compared study participants' baseline systolic and diastolic blood pressure with corresponding measurements obtained at examinations conducted at 3 and 6 months after baseline measurements.
Patients' motivation for self-management of hypertension, health behaviors (smoking, drinking, and exercise), regular clinic visit, and medication compliance were improved after participating in the program. Furthermore, patients' blood pressure levels were decreased while their satisfaction with physician-patient relationships was increased.
Primary-care-based chronic disease management program is effective for managing hypertension. Therefore, it is essential to reinforce the role of community-based primary care to improve the health of patients with hypertension.
最近，韩国政府已将基于初级保健的慢性病管理计划作为一项国家任务。本研究旨在通过关注高血压患者来评估该计划，并考察该计划对他们健康状况的影响。
总共纳入了863名接受调查的受试者以及行政数据中的1716名受试者。基于中间结果（自我管理动机、健康行为变化、医疗服务利用情况、与医生的会诊时长以及药物依从性）和结果（疾病管理、服务满意度、医患关系、血压变化）对该计划的效果进行评估。此外，我们将研究参与者的基线收缩压和舒张压与在基线测量后3个月和6个月进行的检查中获得的相应测量值进行了比较。
参与该计划后，患者自我管理高血压疾病积极性、健康行为（吸烟、饮酒和运动）、定期门诊就诊以及药物依从性均有所改善。此外，患者的血压水平下降，同时他们对医患关系的满意度提高。
基于初级保健的慢性病管理计划对高血压管理有效。因此，加强社区初级保健的作用对于改善高血压患者的健康状况至关重要。
