Bibliographic Details
| Title: |
Effect of a health management model based on the three-tier prevention and control system for cardiovascular and cerebrovascular diseases: a prospective cohort study in rural Central China (CENTRAL-HMM) |
| Authors: |
Yongxia Wang, Jingjing Wei, Rui Yu, Xinlu Wang, Xingyuan Li, Guangcao Peng, Hongjie Ren, Jianru Wang, Qifei Zhao, Yanbo Zhang, Bin Li, Hongxin Guo, Yang Sun, Lijie Qiao, Jiabao Lei, Mingjun Zhu, Duolao Wang |
| Source: |
BMC Cardiovascular Disorders, Vol 24, Iss 1, Pp 1-12 (2024) |
| Publisher Information: |
BMC, 2024. |
| Publication Year: |
2024 |
| Collection: |
LCC:Diseases of the circulatory (Cardiovascular) system |
| Subject Terms: |
Health management model, Cardiovascular and cerebrovascular diseases, Rural area, Village doctor, Three-tiered prevention and control, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| More Details: |
Abstract Background Cardiovascular and cerebrovascular diseases (CVDs) present a significant challenge in the realm of chronic disease management in China. The objective of this study is to assess the efficacy of a health management model rooted in a three-tier prevention and control system for CVDs. Methods From August 2020 to September 2020, this study enrolled 2033 CVDs patients from 105 villages across three townships in central China. All participants underwent a 12-month health management involving monitoring, risk assessment, health education, and interventions. The primary endpoint focused on recurrence and exacerbation, while secondary outcomes encompassed health economic indicators, awareness of prevention and control knowledge, risk factor, lifestyle behavior. Data analysis was conducted using generalized estimating equation models. Results After 1 year of follow-up, the odds of recurrence and exacerbation decreased significantly compared to the baseline [odds ratio (OR) 0.30, 95% confidence interval (CI): 0.26, 0.35], accompanied by reduced hospitalization frequency [mean difference (MD) -0.61, 95% CI: -0.66, -0.56] and a monthly average reduction in medication costs (MD, -69.80, 95% CI: -104.55, -35.05). Moreover, patients’ awareness of CVDs prevention and treatment knowledge markedly improved (P |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
1471-2261 |
| Relation: |
https://doaj.org/toc/1471-2261 |
| DOI: |
10.1186/s12872-024-04431-8 |
| Access URL: |
https://doaj.org/article/a68922bc25884a409bfb5a979a40c33c |
| Accession Number: |
edsdoj.68922bc25884a409bfb5a979a40c33c |
| Database: |
Directory of Open Access Journals |
