| ObjectivesTo summarizing the hypertension management experience of Hangzhou Changqing chaoming community health service centers, compareing the traditional community hypertension management with the community-based standardization manament, finding the difference between them, then forming one systematic.standardized and completely system for hypertension management in community. We want to described the meaning, content, methods, and assessment iducators of hypertension community-based standardization manament, to exploring an suitable way for blood pressure control in china.MethodsIn this study, we used field surveys, expert advice to discuss this program. We randomly selected one community health care center an the control group, our demonstation center as the experimental group. Each group selected 500 hypertensive patients, and compared the effects of community-based standardization manament during 2007,2008,2009. At last write this standardized management techniques scientific and systematic. Data management and input use EXCEL sofyware, data analysis using statistical software SPSS 16.0.Results1. The meaning of hypertension community-based standardization manament This manament mode is want to develop service standards, various rules and regulations form every aspects, then to setablish one scientific system for commnity hypertions. Meanwhile, we also hope to establish one walue system to maintain the collaborative relationship between GP and patient, so that GPs and patients could participate in the management and treament of blood presuess control, so as to achieve an effective health goal.2. The content of hypertension community-based standardization manament①develop the rules and job responsibilities of hypertension management.②regulate the behavior of hypertension management.③strenth the follow-up information systems.④improve the manage effect and service quality.3. The methdes of hypertension community-based standardization manament①establish GPs service group.②grid management.③hypertension process management.④timely follow-up.⑤personalized service.⑥special health management of patients with hypertension.⑦both population and individual health education.⑧information management technologies.⑨adhere to the effects assessment.4. The assessment iducators of hypertension community-based standardization manament①hypertension management effectiveness.②hypertensive patient satisfaction.③general team performance.5. Generalmodel community in 2006, among the residents over 60 years, the number of hypertension patients was 3092, the actual management number is 2,956. In 2009, has 10,859 hypertensive patients, the actual number of 10,859 people,all people was managedt. Control communities in 2006 had number of 8382 patients with hypertension, the actual management number is 6194. In 2009, the numben of hypertensive patients is 9309, the number of 7577 people was managed.6. Before and after hypertension community-based standardization manamentmodel community hypertension control rate is 61% in 2007,2008reached 65%, 2009 reached 65%. control community's hypertension control rate is 41.5% in 2007, 2008 reached 45.3%,47.1% reached in 2009. In 2007, the visit rate of model community was 93%,98% in 2008,97% in 2009. visit rate of control community in 2007 was 73.9%, in 2008 was77.1%, and 81.4% in 2009.7. Blood pressure value before and afterIn the first quarter of 2007 year, model community's SBP Md was 140mmHg,QR was 21 mmHg; DBP Md was 80mmHg, QR was 14mmHg. In control community, SBP Md was 140mmHg, QR was 30mmHg; DBP Md was 80mmHg, QR was 15mmHg; hypothesis test P> 0.05, the difference was no significant. In the fourth quarter of 2009 year, model community's SBP Md was 135mmHg, QR was 15mmHg; DBP Md was 80mmHg QR was 17.5mmHg. In control community, SBP Md was 140mmHg, QR was 20mmHg; DBP Md was 80mmHg, QR was 15mmHg. Hypothesis test P< 0.05, systolic blood pressure values were significant differences; diastolic blood pressure's P>0.05, the difference was no statistically significant.8. The education situation before and afterModel community for health education in 2007 to the number of 3018, health education coverage is 40.7%. Chronic Club has 210 participants, participation rate was 29.2%. the number receiving health education was 4050 in 2008, health education coverage is 54.6%. Chronic Club had 408 people, participation rate was 39%; 2009,the number receiving health education was 2600, health education coverage is 35.1%. Chronic Club had 205 participants, participation rate was 18.7%. Control communities did not carry out club activities, and health education activities carried out by the unity of the street, so in 2007,only 640 people received health education, health education coverage is 7.37%. Number of people received health education in 2008 was 790, coverage rate was 8.8%. Number of people receiving health education in 2009 was 1040 persons, health education coverage is 11.2%.9. The patsions satisfaction before and aftermodel community got the patient satisfaction score of 91 points in the third-party assessment, this points is outstanding in china. Overall satisfaction with general practitioners to 67.74%,16.35% increase over baseline.ConclusionThrough nine standardized technology,such as the establishment of general services group, the implementation of grid management, process management, timely follow-up, personalized service, special population health management, health education, both populations and individuals, the application of information management technology and adhere to the Evaluation, building Hypertension standardized management system, can improve the effect of community management of hypertension. Compared With the traditional method of community management of hypertension, community-based standardized management of hypertension is more perfect, more systematic, not only can effectively alleviate the growing number of community patients with hypertension,also can improve work efficiency while the lack of general practitioners in China, promise the community toward a more systematic hypertension management direction.
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