The impact of hypertension follow-up management on the choices of signing up family doctor contract services: does socioeconomic status matter?

作者：Xuehong Wang, Jie Chu, Dan Zhao, Tingting Gao, Jingjing Luo, Xueqing Wang, Shujun Chai, Jiayan Li, Jingjie Sun, Peilong Li, Chengchao Zhou · 发表于：BMC Family Practice · 年份：2024 · DOI：10.1186/s12875-024-02383-8 · 被引用次数：7 · 研究领域：Healthcare Systems and Reforms、Chronic Disease Management Strategies、Primary Care and Health Outcomes

BACKGROUND: This study aimed to explore the association between hypertension follow-up management and family doctor contract services, as well as to examine whether socioeconomic status (SES) had an interaction effect on this relationship among older adults in China. METHODS: We used data from the sixth National Health Service Survey of Shandong Province, China, including 3,112 older adults (age ≥ 60 years) with hypertension in 2018. Logistic regression models and a margins plot were used to analyze the role of SES in the relationship between hypertension follow-up management and family doctor contract services. RESULTS: The regular hypertension follow-up management rate and family doctor contracting rate were 81.8% and 70.9%, respectively, among older adults with hypertension. We found that participants with regular hypertension follow-up management were more likely to sign family doctor contract services (OR=1.28, 95%CI: 1.04, 1.58, P=0.018). The interaction effect occurred in the groups who lived in rural areas (OR=1.55, 95%CI: 1.02, 2.35), with high education level (OR=0.53, 95%CI: 0.32, 0.88) and had high incomes (OR=0.53, 95%CI: 0.35, 0.81). CONCLUSIONS: Our findings suggested that regular hypertension follow-up management was associated with family doctor contract services and SES influenced this relationship. Primary health care should improve the contracting rate of family doctors by strengthening follow-up management of chronic diseases. Family doctors should focus ...