Cohort monitoring of persons with hypertension: an illustrated example from a primary healthcare clinic for Palestine refugees in Jordan
Cohort monitoring of persons with hypertension: an illustrated example from a primary healthcare clinic for Palestine refugees in Jordan
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DOI：
10.1111/j.1365-3156.2012.03048.x
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发表时间：
2012-09-01
影响因子：
3.3
通讯作者：
Seita, Akihiro
中科院分区：
文献类型：
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作者：
Khader, Ali;Farajallah, Loai;Seita, Akihiro
目的借鉴DOTS结核病控制框架的记录和报告系统，可用于记录、监测和报告慢性病。在约旦安曼由近东救济工程处运营的初级保健诊所，为患有高血压的巴勒斯坦难民提供服务，我们通过介绍季度和累积病例发现，累积和12个月队列结果分析，并评估这些数据如何为高血压护理服务提供信息和提高高血压护理服务质量，来说明高血压患者的队列报告方法。方法本研究采用描述性研究方法，使用电子健康收集的常规项目数据。结果2012年第1季度新登记高血压患者97例，自2009年10月电子健康网开通以来累计登记高血压患者4130例。截至2012年3月31日，4130例患者中有3119例（76%）仍在接受治疗，878例（21%）在过去3个月内未能向医护人员就诊，其余患者死亡、转出或失访。累积和12个月队列结局分析表明，与血压测量和空腹血糖检测相关的临床表现的几个组成部分存在缺陷，以同时筛查糖尿病。8%至15%的HT患者有严重的并发症，如心血管疾病和中风。结论队列分析对HT等慢性非传染性疾病的监测和管理具有重要意义。
Objective Recording and reporting systems borrowed from the DOTS framework for tuberculosis control can be used to record, monitor and report on chronic disease. In a primary healthcare clinic run by UNRWA in Amman, Jordan, serving Palestine refugees with hypertension, we set out to illustrate the method of cohort reporting for persons with hypertension by presenting on quarterly and cumulative case finding, cumulative and 12-month analysis of cohort outcomes and to assess how these data may inform and improve the quality of hypertension care services. Method This was a descriptive study using routine programme data collected through E-Health. Results There were 97 newly registered patients with hypertension in quarter 1, 2012, and a total of 4130 patients with hypertension ever registered since E-Health started in October 2009. By 31 March 2012, 3119 (76%) of 4130 patients were retained in care, 878 (21%) had failed to present to a healthcare worker in the last 3 months and the remainder had died, transferred out or were lost to follow-up. Cumulative and 12-month cohort outcome analysis indicated deficiencies in several components of clinical performance related to blood pressure measurements and fasting blood glucose tests to screen simultaneously for diabetes. Between 8% and 15% of patients with HT had serious complications such as cardiovascular disease and stroke. Conclusion Cohort analysis is a valuable tool for the monitoring and management of non-communicable chronic diseases such as HT.