Effectiveness of integrated management on hypertension and mortality in rural China: A CHHRS study

TL;DR

This study shows that integrated hypertension management in rural China significantly reduces cardiovascular and overall mortality.

Contribution

The study demonstrates the effectiveness of integrated care led by public health providers in reducing mortality in rural, low-income populations with hypertension.

Findings

Integrated management reduced CVD-specific mortality with a hazard ratio of 0.60.

All-cause mortality was also reduced with a hazard ratio of 0.62 in the integrated management group.

Abstract

A study was conducted to investigate whether an integrated management (IM) model led by public healthcare providers is effective in reducing cardiovascular disease (CVD)-specific and all-cause mortality rates in low-income rural populations with hypertension. The study recruited 14,234 patients with hypertension aged 18 years or older and allocated them to either an IM group or a usual care (UC) group. During a median follow-up of 48.0 months, the incidences of CVD-specific and all-cause deaths were lower in the IM group than in the UC group. The hazard ratios for CVD-specific mortality and all-cause mortality among patients in the IM group were 0.60 and 0.62, respectively. The results showed that the IM model led by public health providers resulted in clinically significant reductions in CVD-specific and all-cause mortality rates in low-income rural populations with hypertension.

•Integrated management is central to rural healthcare systems•Comprehensive hypertension management impacts patient•This study offers valuable reference for hypertension management

Integrated management is central to rural healthcare systems

Comprehensive hypertension management impacts patient

This study offers valuable reference for hypertension management

Medicine; Internal medicine; Public health

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