Sustainable Hypertension Management in Primary Health Care in Sweden - Ett hållbart omhändertagande av Blodtryckspatienter i primärvården
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- Region Skane
- 入组人数
- 500
- 试验地点
- 1
- 主要终点
- Blood pressure change
研究概览
简要总结
New sustainable models of patient-focused and team-based care for patients with hypertension should be developed to achieve health improvements and cost-efficiency.
The aim of this project is to evaluate new ways of sustainable hypertension (HT) management in primary care, starting with a pilot study at 2 Primary Health Care Centres (PHCCs).
At intervention PHCCs cardiovascular risk is assessed with SCORE2 for all hypertension patients. The staff receives education on HT treatment and an easy-to-follow treatment protocol. Non-physicians lead patient education on HT in groups. Patients receive a home blood pressure (BP) monitor and communicate digitally with the assigned nurse on medication update, blood and urinary tests and follow up. The nurse consults with the physician if needed. Regular face to face visits with the physician are only scheduled for patients with high cardiovascular risk or end organ damage, otherwise for all patients if needed.
At the control PHCs hypertension care continues as usual. All participants will be asked to complete questionnaires after 6 and 24 months.
Outcomes are feasibility for the pilot study and the proportion of patients reaching BP target plus change in systolic BP, cardiovascular risk factors, patients´ and staff´s grade of satisfaction and knowledge, and health care costs for the main study, compared between intervention and control PHCCS. Results will help to establish sustainable models of treating HT patients in Primary Care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients with hypertension
排除标准
- •secondary hypertension according to the medical records at the Primary Health Care Center
- •terminal illness
- •pregnancy-induced hypertension
- •cognitive impairment
- •impaired vision (not able to read measurements for the home BP measurements or communicate via "1177 direct" digitally)
- •psychotic disorder
结局指标
主要结局
Blood pressure change
时间窗: 24 months
change in proportion of patients reaching blood pressure target of \<140/90 mmHg
次要结局
- Health economic evaluation(24 months)
- Participants grade of satisfaction(24 months)
- Staffs grade of satisfaction(24 months)
- Blood glucose level and cholesterol(24 months)
- Kidney function(24 months)
- Kidney complications(24 months)
- Smoking(24 months)