Research on factors related to management effect based on chronic disease management platform

Objective: To initially explore which factors are related to the blood pressure changes in the process of chronic disease management on the platform. Methods: A total of 742 eligible hypertensive patients from the Health Community Group of Yuhuan People's Hospital were selected. First, we found the turning point at which the overall management effect of the platform reached a higher level according to continuous blood pressure. Then we divided the patients into three groups according to the management effect and compared the demographic characteristics and the physiological indicators in the two assessments of each group. Results: In the group with better management effect, there was a higher proportion of women, a higher average number of blood pressure measurements, and a higher proportion of patients over 40-60 years old; the group with worse management effect had a higher proportion of patients over 60 years old. As for the evaluation data, only the distribution of serum creatinine had a statistically significant relationship with the management effect. Conclusions: It is preliminarily explored that in the process of management, the number of blood pressure measurements may be the behavioral factor, gender and age may be the demographic factors affecting the management effect; homocysteine, total cholesterol, intima-media thickness, microalbuminuria may be physiological indicators that change with blood pressure during the management process.