J Agric Med Community Health.
2013 Jun;38(2):108-115.
Effects of Chronic Disease Management Based on Clinics for Blood Pressure or Glycemic Control in Patients with Hypertension or Type 2 Diabetes Mellitus
- Affiliations
-
- 1Department of Preventive Medicine, Graduate School of Medicine, Gachon University, Korea. yim99@gachon.ac.kr
- 2Department of Nursing, Gachon University, Korea.
Abstract
OBJECTIVE
This study aimed to examine the effects of chronic disease management program based on clinics for blood pressure control or glycemic control in patients with hypertension or type 2 diabetes mellitus in Incheon.
METHODS
An observational follow up study was done on 11,501 patients registrated at clinics from January 1st to December 31st, 2010 in Incheon. Experience of education and mandatory laboratory tests were assessed with the registration data and income status was identified by National Health Insurance data. The odds ratio and 95% confidence intervals were derived from logistic regression models.
RESULTS
The experience of education has a positive effect for blood pressure control in the non-control group with hypertension at the time of registration (Odds ratio 1.357, confidence intervals: 1.112~1.655). The experience of mandatory laboratory tests has a positive effect for blood pressure control in the control group with hypertension at the time of registration (Odds ratio 1.738, confidence intervals: 1.387~2.178). But the effects of the experience of education and mandatory laboratory test in patients with type 2 diabetes mellitus were not identified.
CONCLUSIONS
This study revealed the relationship between the experience of education or mandatory laboratory testing and blood pressure control in patients with hypertension.
