Abstract
PURPOSE: To practice and evaluate the effectiveness of a hypertension homogenization management model under the "walking hospital" mode in primary medical institutions. METHODS: This study examines the impact of hypertension management under the "Walking Hospital" model in Wushan County, encompassing all eligible hypertension patients with established records from various townships and streets. The management approach involves standardized procedures, including unified blood pressure measurement, diagnostic evaluation, treatment follow-up, referral of acute and severe cases, and quality control standards. Data is collected through face-to-face interviews before and after the management initiative. Key indicators of observation include the status of hypertension control (awareness, treatment, and control rates) across different areas. Patient follow-up and data collection span from August 2023 to August 2024. Analysis is conducted using SPSS 22.0, with categorical variable data presented as percentages, and repeated measures ANOVA used for statistical analysis. RESULTS: Prior to the implementation of the aforementioned management strategies, the prevalence of hypertension awareness in Wushan County was 50.35% (±7.09% SD), with a treatment rate of 42.73% (±7.20% SD) and a control rate of 16.25% (±2.49% SD). Following the implementation of these strategies, there was a significant increase in hypertension awareness to 72.85% (±4.99% SD), treatment rate to 60.92% (±3.78% SD), and control rate to 43.32% (±3.41% SD) in Wushan County (p<0.0001). CONCLUSION: Wushan County's "walking hospital" for hypertension management employs standardized procedures, encompassing uniform blood pressure measurement, diagnostic evaluation, treatment monitoring, emergency protocols for acute and severe cases, and stringent quality control standards. This approach effectively enhances the awareness, treatment adherence, and control of hypertension in the region.