Influence of Integrated Chronic Disease Management Measures in Rural Medical Alliance on Health-Related Quality of Life of Hypertension Outpatients.

To evaluate the impact of the integrated outpatient clinic for chronic diseases (IOC-CD) on the quality of life of hypertension patients in Rural medical alliance of Zhejiang Province, and offer optimization suggestions. We conducted a cross-sectional study using the EuroQol five-dimensional questio...

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Publicado en:Inquiry (00469580) Vol. 62; pp. 1 - 13
Autores principales: Lin, Xiaoling, Li, Jiajun, Huang, Qunfang, Gao, Linjia, Li, Xu, Shao, Ping, Zhou, Chi
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 10/18/2025
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Influence of Integrated Chronic Disease Management Measures in Rural Medical Alliance on Health-Related Quality of Life of Hypertension Outpatients.
      aug:
        au:
          Lin, Xiaoling
          Li, Jiajun
          Huang, Qunfang
          Gao, Linjia
          Li, Xu
          Shao, Ping
          Zhou, Chi
        affil: Hangzhou Normal University, Zhejiang Province, China
      sug:
        subj:
          Hypertension Therapy
          Chronic Disease Therapy
          Quality of Life Evaluation
          Disease Management
          Outpatient Service
          Health Care Delivery, Integrated
          Rural Health Services
          Human
          Funding Source
          Cross Sectional Studies
          Scales
          Data Analysis Software
          Coefficient alpha
          Factor Analysis
          Descriptive Statistics
          Quantitative Studies
          Univariate Statistics
          Unpaired T-Tests
          Kruskal-Wallis Test
          Multiple Linear Regression
          Outpatients
          China
          Male
          Female
          Middle Age
          Aged
          Random Sample
          Multivariate Analysis
          Age Factors
          Patient Satisfaction
          Self Care
          Pain Management
          Physicians, Family
          Hospitals, Community
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: To evaluate the impact of the integrated outpatient clinic for chronic diseases (IOC-CD) on the quality of life of hypertension patients in Rural medical alliance of Zhejiang Province, and offer optimization suggestions. We conducted a cross-sectional study using the EuroQol five-dimensional questionnaire (EQ-5D) from October to November 2023. A total of 295 outpatients with essential hypertension were enrolled through random sampling. Trained investigators collected data via face-to-face paper-based questionnaires in waiting areas, and health utility values were calculated accordingly. The average EQ-VAS and utility scores of hypertensive patients in the integrated chronic disease outpatient clinics of the sampled areas are both at a high level. Among the sampled population, the dimension with the most problems is pain/discomfort, while the dimension with the fewest problems is self-care. Multivariate analysis showed that being over 60 negatively impacted health utility and VAS scores. Have a family doctor and satisfaction with pre-/post-visit services positively affected these scores, while satisfaction with in-visit services improved health utility. Hypertensive patients in Zhejiang's county-level medical alliances receiving chronic disease integrated outpatient care have good health-related quality of life. Future work should expand this integrated clinic model, optimize resource allocation, and improve clinic management and service quality to better meet patients' health needs and enhance their quality of life.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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