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Biomed Environ Sci. 2016 Dec;29(12):915-921. doi: 10.3967/bes2016.123.

Effectiveness of Adherence to Standardized Hypertension Management by Primary Health Care Workers in China: a Cross-sectional Survey 3 Years after the Healthcare Reform.

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Division of NCD Control and Community Health, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
Center for Health Economics, University of York, Heslington, York YO10 5DD, UK.


The standardized hypertension management provided by primary health care workers is an important part of China's recent health care reform efforts. Investigating 5,116 hypertensive patients from a cross-sectional survey conducted by the Chinese Center for Disease Control and Prevention in 2012, this study found that adherence to standardized hypertension management is associated with positive effects on hypertension- related knowledge, healthy lifestyle behavior, antihypertensive medical treatments, and blood pressure control. It will be necessary to provide primary health care workers with sufficient training and reasonable incentives to ensure the implementation and effectiveness of hypertension management.


China; Community health workers; Hypertension; Primary health care

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