A Survey of Factors Associated with the Utilization of Community Health Centers for Managing Hypertensive Patients in Chengdu, China 英文参考文献.docVIP
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A Survey of Factors Associated with the Utilization of Community Health Centers for Managing Hypertensive Patients in Chengdu, China 英文参考文献
ASurveyofFactorsAssociatedwiththeUtilizationof
CommunityHealthCentersforManagingHypertensive
PatientsinChengdu,China
YunChai1,2.,HanchengXu1,5.,WenxinWang1,BingLiu2,DehuaYang3,HongFan1,FujianSong4*,
ZuxunLu1*
1School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, People’s Republic of China, 2Faculty of Public
Administration, Hubei University of Medicine (original Yunyang Medical College), Shiyan, Hubei, People’s Republic of China, 3Fourth People Hospital of Chengdu,
Chengdu, Sichuan, People’s Republic of China, 4Faculty of Health, University of East Anglia, Norwich, East Anglia, United Kingdom, 5International Exchange and
CooperationOffice,WuhanUniversityofScienceandTechnology,Wuhan,Hubei,People’sRepublicofChina
Abstract
Background:FordecadesthedevelopmentofcommunityhealthserviceshasbeenemphasizedinChinatocopewiththe
growing burden of chronic diseases by providing basic medical services. This survey aims at investigating factors
associatedwiththeuseofCommunityHealthCenters(CHCs)forthemanagementofhypertensivepatientsinChengdu,
China.
Methods:Weusedasystematicsamplingmethodtoselect2,030patientswithhypertensionordiabetesregisteredin29
CHCsinChengduin2007.Researchersinterviewedpatientswhoconsentedtoparticipateattheirhome.Thispaperreports
findingsfromthesurveyof1,716hypertensivepatientswithcompletedquestionnaires.Univariateanalysesandmultiple
logistic regression analyses were conducted to explore factors influencing the use of CHCs for the management of
hypertensivepatients.
Results: 81.4% of hypertensive patients regularly used CHCs for hypertension monitoring and treatment in Chengdu.
Univariate analyses indicated that use of CHCs was associated with the education level, occupation, types of medical
insurance, Body Mass Index(BMI), patients’ knowledge on hypertension, awareness of CHCs functions, satisfaction of the
serviceofCHCs.MultipleregressionanalysesfoundthatuseofCHCswaspositivelyassociatedwiththefollowing
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