Tóm tắt

Objectives: To evaluate the practice of treatment and the situation of achieving and sustaining blood pressure targets among patients under treatment and management of hypertension covered by health insurance at the commune level in Hanoi. Subjects and methods: The study was conducted on 438 hypertensive patients under treatment and management at two commune health centers in Socson district with the quasi-experimental design and pre- and post-intervention assessments. Patients were treated and their profiles were set up and were provided with physical examination, counsel and medications on a monthly basis at the selected communes. The practice of treatment among patients was assessed through face-to-face interviews and information was also extracted from their medical records. Results: The proportion of patients with adequate practice of hypertension treatment was 15.75%, increasing to 45.21% after the intervention (p < 0.001). The proportion of patients achieving blood pressure targets experienced a gradual rise over treatment duration. Patients with adequate practice of hypertension treatment were 1.9 times more likely to achieve blood pressure targets than the others. Conclusion: After one year participating in the treatment and management program, most patients had achieved blood pressure target. The intervention proved to be effective in enhancing patients’ practice of hypertension treatment. * Keywords: Hypertension; Blood pressure targets; Health insurance; Commune health center.

Abstract

Objectives: To evaluate the practice of treatment and the situation of achieving and sustaining blood pressure targets among patients under treatment and management of hypertension covered by health insurance at the commune level in Hanoi. Subjects and methods: The study was conducted on 438 hypertensive patients under treatment and management at two commune health centers in Socson district with the quasi-experimental design and pre- and post-intervention assessments. Patients were treated and their profiles were set up and were provided with physical examination, counsel and medications on a monthly basis at the selected communes. The practice of treatment among patients was assessed through face-to-face interviews and information was also extracted from their medical records. Results: The proportion of patients with adequate practice of hypertension treatment was 15.75%, increasing to 45.21% after the intervention (p < 0.001). The proportion of patients achieving blood pressure targets experienced a gradual rise over treatment duration. Patients with adequate practice of hypertension treatment were 1.9 times more likely to achieve blood pressure targets than the others. Conclusion: After one year participating in the treatment and management program, most patients had achieved blood pressure target. The intervention proved to be effective in enhancing patients’ practice of hypertension treatment. * Keywords: Hypertension; Blood pressure targets; Health insurance; Commune health center.