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Effects of Chronic Disease Management Based on Clinics for Blood Pressure or Glycemic Control in Patients with Hypertension or Type 2 Diabetes Mellitus

고혈압·당뇨병 환자의 혈압·혈당 조절에 미치는 의원 기반 만성질환관리사업의 효과

  • Cheong, Won (Department of Preventive Medicine, Graduate School of Medicine, Gachon University) ;
  • Yim, Jun (Department of Preventive Medicine, Graduate School of Medicine, Gachon University) ;
  • Oh, Dae-Kyu (Department of Preventive Medicine, Graduate School of Medicine, Gachon University) ;
  • Im, Jeong-Soo (Department of Preventive Medicine, Graduate School of Medicine, Gachon University) ;
  • Ko, Kwang Pil (Department of Preventive Medicine, Graduate School of Medicine, Gachon University) ;
  • Kim, Yun Mi (Department of Nursing, Gachon University)
  • 정원 (가천대학교 의학전문대학원 예방의학과) ;
  • 임준 (가천대학교 의학전문대학원 예방의학과) ;
  • 오대규 (가천대학교 의학전문대학원 예방의학과) ;
  • 임정수 (가천대학교 의학전문대학원 예방의학과) ;
  • 고광필 (가천대학교 의학전문대학원 예방의학과) ;
  • 김윤미 (가천대학교 간호학과)
  • Received : 2013.03.29
  • Accepted : 2013.06.03
  • Published : 2013.06.30

Abstract

Objective: This study aimed to examine the effects of chronic disease management program based on clinics for blood pressure control or glycemic control in patients with hypertension or type 2 diabetes mellitus in Incheon. Methods: An observational follow up study was done on 11,501 patients registrated at clinics from January 1st to December 31st, 2010 in Incheon. Experience of education and mandatory laboratory tests were assessed with the registration data and income status was identified by National Health Insurance data. The odds ratio and 95% confidence intervals were derived from logistic regression models. Results: The experience of education has a positive effect for blood pressure control in the non-control group with hypertension at the time of registration (Odds ratio 1.357, confidence intervals: 1.112~1.655). The experience of mandatory laboratory tests has a positive effect for blood pressure control in the control group with hypertension at the time of registration (Odds ratio 1.738, confidence intervals: 1.387~2.178). But the effects of the experience of education and mandatory laboratory test in patients with type 2 diabetes mellitus were not identified. Conclusions: This study revealed the relationship between the experience of education or mandatory laboratory testing and blood pressure control in patients with hypertension.

Keywords

Hypertension;Type 2 Diabetes Mellitus;Education;Mandatory laboratory test

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