The Health Management Effect of Contracted Family Doctor Services under the Joint Management of Three Teachers in Xiamen City on Elderly Hypertensive Patients
摘要
Background Starting from chronic diseases such as hypertension in 2014, Xiamen City has innovatively launched the "Three Teachers Joint Management" family doctor contract service model, providing patients with continuous services of "prevention, screening, treatment, management, education, and health", improving service quality, promoting doctor-patient harmony, and enhancing patients' sense of gain. However, there is currently a lack of research on the application effect of this model. Objective This article takes elderly hypertensive patients as the starting point to understand the health management effect of the "three teacher co management" family doctor contract service in Xiamen on elderly hypertensive patients, and analyzes the factors that affect patient blood pressure control, providing reference for continuously improving the health management effect of this service model. Methods Using a retrospective cohort study method, in March 2024, hypertensive patients aged 65 and above who participated in family doctor contracted services for the first time in 2021 and received family doctor contracted services for two consecutive years in six administrative districts under Xiamen City were selected as the contract group (n=15 154) , and hypertensive patients aged 65 and above who had never participated in family doctor contracted services were selected as the non contract group (n=8 838) . Collected general demographic information, lifestyle information, illness and medication status of patients through the Xiamen Basic Public Health Cloud Platform, match patients' participation in family doctor contracted services through the "Xiamen eHealth" platform, and collected patient physical examination results through the Xiamen Elderly Health Examination Data Platform. Compared and analyzed the blood pressure control, physical examination results, lifestyle, and medication compliance of patients in the contracted and uns