Effectiveness of community health management for hypertensive patients under the medical alliance in China: a systematic review and meta-analysis

作者：Yunpeng Gu, Anqi Wang, Da He, Changhai Tang · 发表于：Frontiers in Public Health · 年份：2025 · DOI：10.3389/fpubh.2025.1460246 · 被引用次数：4 · 研究领域：Blood Pressure and Hypertension Studies、Healthcare Systems and Reforms、Chronic Disease Management Strategies

Objective The prevalence of hypertension in China has been increasing, imposing a heavy burden on premature mortality and catastrophic healthcare expenditure. This study aims to evaluate the effectiveness of community health management on blood pressure control for hypertensive patients under the medical alliance, a model of integrated care in China. Methods Following PRISMA guidelines, three English databases and three Chinese databases were searched from January 2010 to March 2024, with two reviewers involved in the screening, data extraction, quality assessment, and narrative synthesis with characteristics and interventions. Meta-analysis was performed with the value of Hedge’s g and 95% confidence interval (CI), using the random-effects model. Subgroup and meta-regression analysis were used to analyze the sources of heterogeneity. Egger’s test was applied to detect publication bias. Results Twenty-five studies covering 7,727 hypertensive patients were included, with one of them assessed as low risk of bias. The pooled result showed that compared to conventional community health management, community health management of hypertension under the medical alliance had a more significant effect on reducing systolic blood pressure (Hedge’s g: −0.721, 95% CI: −0.890 to −0.552, p < 0.001) and diastolic blood pressure (Hedge’s g: −0.786, 95% CI: −1.002 to −0.571, p < 0.001). It could not be demonstrated that regional distribution, mean age of participants, sample size...