{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T18:23:20Z","timestamp":1787163800237,"version":"build-2736575974"},"reference-count":46,"publisher":"BMJ","issue":"5","license":[{"start":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T00:00:00Z","timestamp":1684195200000},"content-version":"unspecified","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004829","name":"Sichuan Provincial Department of science and technology","doi-asserted-by":"crossref","award":["2021YFS0022"],"award-info":[{"award-number":["2021YFS0022"]}],"id":[{"id":"10.13039\/501100004829","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We conducted this study to assess the application effect of the family doctor contract service mode of \u2018basic package+personalised package\u2019 in the management of hypertension patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Observational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>The study was conducted at a community health centre in Southwest China. Data were collected from 1 January 2018 to 31 December 2020.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>From 1 January 2018 to 31 December 2020, hypertensive patients (age \u226565 years) who participated in the contract services of family doctors at a community health service centre in Chengdu, Southwest China, were selected as the study subjects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>\n                      The primary outcomes included mean blood pressure (systolic, diastolic) and the rate of blood pressure control, secondary outcomes included the level of cardiovascular disease risk and self-management ability. Assessments of baseline and 6 months after signing up were conducted on all outcomes. The major statistical analysis methods included two independent sample t-tests, paired t-tests, Pearson\u2019s \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      test, McNemar\u2019s test, two independent sample Mann-Whitney U tests and paired sample marginal homogeneity tests.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 10\u2009970 patients screened for eligibility, 968 (8.8%) were separated into an observation group (receiving \u2018basic package+personalised package (hypertension)\u2019 service) (n=403) and a control group (receiving \u2018basic package\u2019 service) (n=565) according to the type of service package they received. In comparison to the control group, the observation group had lower mean systolic blood pressure (p=0.023), higher blood pressure control rate (p&lt;0.001), lower cardiovascular disease risk level (p&lt;0.001) and higher self-management ability level (p&lt;0.001) at 6\u2009months after signing up. The mean diastolic blood pressure of the two groups was not significantly different (p=0.735).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The family doctor contract service model of \u2018basic package+personalised package (hypertension)\u2019 has a good application effect in the management of elderly hypertension, which can improve the average blood pressure, the rate of blood pressure control, the level of cardiovascular disease risk and self-management ability of the elderly with hypertension.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2022-064908","type":"journal-article","created":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T10:01:23Z","timestamp":1684231283000},"page":"e064908","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Study on the application effect of the family doctor contract service mode of \u2018basic package+personalised package\u2019 in elderly hypertension management in Chengdu, China: a retrospective observational study"],"prefix":"10.1136","volume":"13","author":[{"given":"Qiujing","family":"Du","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiayi","family":"Ye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinhua","family":"Feng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shilin","family":"Gao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4580-0015","authenticated-orcid":false,"given":"Ka","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,5,16]]},"reference":[{"key":"2023060101553178000_13.5.e064908.1","unstructured":"Fang C . 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