Chronic Disease Management for People With Hypertension

Abstract

Objectives: To assess the effectiveness of continuity of care policies by identifying the impact of a chronic disease management program on the continuity of care in patients with hypertension in South Korea.Methods: The propensity score matching method was used to control selection bias, and the difference-in-differences method was used to compare the impact on the treatment and control groups according to the policy intervention.Results: The continuity of care index of hypertensive patients using the difference-in-differences analysis outcome of the chronic disease management program was higher than that of the non-participating hypertensive patients.Conclusion: Continuous treatment is vital for chronic diseases such as hypertension. However, the proportion of those participating in the intervention was low. Encouraging more hypertensive patients to participate in policy intervention through continuous research and expanding the policy to appropriately reflect the increasing number of chronic diseases is necessary.

Regional Health Disparities in Hypertension-Related Hospitalization of Hypertensive Patients: A Nationwide Population-Based Nested Case-Control Study

“…The primary healthcare chronic disease management pilot project aimed to ensure continuous management of patients with high blood pressure and diabetes who visited neighborhood clinics and is in the process of converting to a main project. Several studies have shown that primary care-centered chronic disease management is cost-effective and improves COC and medication adherence [43][44][45][46]. To improve COC, it is important to introduce policies at the national level and make steady efforts to manage health at the individual level.…”

“…The COC is considered a reliable measure because it is used in the absence of routine visits by healthcare providers and is less sensitive to the number of visits by healthcare providers [ 23 ]. The COC indicator has the advantage of considering the number of healthcare providers and the number of visits together [ 12 ]. The COC has a value between 0 and 1, and the closer it is to 1, the better the COC [ 23 ].…”

“…Therefore, the WHO has indicated the need to maintain continuity of care (COC) in primary healthcare facilities to effectively manage chronic diseases [ 11 ]. The COC is one of the critical elements of primary care and represents a terminating and lasting relationship between healthcare providers and patients [ 12 ]. Previous studies have found that improving COC in local primary care settings to manage chronic diseases can effectively reduce avoidable hospitalizations and deaths [ 11 , 13 ], there were also differences in COC depending on the regional scale [ 14 ].…”

Comparison of the Effects of Self-Administered Moxibustion versus Acupressure on Blood Pressure, Stress, Sleep Quality, and Quality of Life in Hypertensive Patients: A Randomized Parallel Trial

“…Hypertension is a common chronic disease that requires continuous treatment and management [7]. Self-care practices at home are known to have potential benefits for Healthcare 2023, 11, 2182 2 of 16 managing hypertension [8].…”