Dawning public health services dogma: An indigenous Southwest Chinese perspective in managing hypertension-with or without the “BPHS”?

Linhong Pang, Lakshme Kottu, Zihong Guo, Yi Shi, Misbahul Ferdous, Yajing Zhao, Mingjing Tang, Wei Liu, Jiayu Fang, Hongchen Fu, Xia Wu, Min Ma, Huadan Wang, Daphne Merkus, Lin Duo*

*Corresponding author for this work

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Abstract

Background: To alleviate the rising mortality burden due to hypertension and other non-communicable diseases, a new public health policy initiative in 2009 called the Basic Public Health Services (BPHS). Program was introduced by the Chinese government. The goal of the study is to assess the feasibility and impact of a nationwide health care service—the “BPHS”. Methods: From January to December 2021, a stratified multistage random sampling method in the survey was conducted to select 6,456 people from 8 cities/districts in Yunnan Province, China, who were above the age of 35 years. 1,521 hypertensive patients were previously aware of their high blood pressure status were matched to the BPHS program database based on ID number and then further divided into BPHS group and non-BPHS (control) group. The results of the current study are based on their responses to a short structured questionnaire, a physical examination, and laboratory tests. The association between BPHS management and its effect on the control of hypertension was estimated using multivariable logistic regression models. We evaluated the accessibility and efficacy of BPHS health care services by analyzing various variables such as blood pressure, BMI, lifestyle modification, anti-hypertensive drugs taken, and cardiovascular risk factors. Results: Among the 1,521 hypertensive patients included in this study, 1,011 (66.5%) were managed by BPHS programme. The multivariable logistic regression model demonstrated that the BPHS facilitated hypertension control (OR = 1.640, 95% CI: 1.237–2.175). A higher proportion of participants receiving lifestyle guidance from the BPHS management showed lowering of total cholesterol. In comparison to the non-BPHS group, those under BPHS management adhered better to antihypertensive medications either single drug (54.3%) or in combination (17.3%) of drugs. Additionally, we also noticed that urban areas with centralized and well-established digital information management system had better hypertension treatment and control. Conclusions: Nearly two-thirds of the hypertensive patients in Yunnan Province were included in BPHS management. The impact of the national BPHS program was evident in lowering risk factors for cardiovascular diseases, promoting healthy lifestyles, lowering blood pressure, increasing medication adherence, and the better control rate of hypertension.

Original languageEnglish
Article number1017795
JournalFrontiers in Public Health
Volume10
DOIs
Publication statusPublished - 10 Nov 2022

Bibliographical note

Funding Information:
This work was supported by Key Research and Development Program from Yunnan Province Science and Technology Department (Grant No. 202103AF140002); Yunnan Provincial Clinical Research Center for Cardiovascular Diseases-New Technology Research and Development Project for Diagnosis and Treatment of Major Cardiovascular Diseases (Grant No. 202102AA310002); and Provincial Innovation Team Project of Heart Failure Diagnosis and Treatment in Fuwai Yunnan Cardiovascular Hospital (Grant No. 202005AE160020).

Publisher Copyright:
Copyright © 2022 Pang, Kottu, Guo, Shi, Ferdous, Zhao, Tang, Liu, Fang, Fu, Wu, Ma, Wang, Merkus and Duo.

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