Objective To evaluate the effect of hypertension patient management program in Shanghai communities.
Methods The data from Shanghai Non-communicable and Chronic Disease (NCD) Surveillance in 2013 were used to analyze controls on medication, blood pressure, and risk factors in hypertension patients.
Results Totally 7147 patients were recruited in the study. The rate of hypertension management program registration was 52.64%. The rate of adherence to prescription medication in last two weeks was 94.70%, among which the rate of the management group (97.82%) was higher than that of the non-management group (91.23%) (χ2=154.29, P < 0.001). The control rate of blood pressure was 35.69%, while the rates of the management group and the non-management group were 36.58% and 34.71%, respectively. Registering to the hypertension management program was a positive factor for the improvement of adherence to prescription medication rate (OR=4.12, 95%CI:3.21-5.29) and blood pressure control rate (OR=1.12, 95%CI:1.02-1.24). There was no significant differences between the two groups in the controls of risk factors such as overweight (or obesity), smoking, drinking, and physical inactivity.
Conclusion Improvement of the rates of hypertension management program registration, adherence to prescription medication, and blood pressure control are achieved through the hypertension patient management program in Shanghai communities, but the blood pressure control rate of the management group is still at a low level.
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