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Diabetes therapy

Family Doctor Contract Services Improve Hypertension and Diabetes Management

Strategic Insights

— 1 min read

Research conducted by Shandong University has shed light on the effectiveness of family doctor contract services in managing chronic diseases such as hypertension and diabetes in a remote multi-ethnic province of China. The study, which utilized data from the 2023 Hainan Health Service Survey, found that patients who contracted a family doctor exhibited significantly better outcomes in follow-up management, drug therapy, and disease control. The findings highlight the need for personalized interventions that consider cultural, lifestyle, and medical factors.

Key Takeaways:

  • The study examined the association between family doctor service contract and follow-up management and control among patients with hypertension and diabetes in a remote multi-ethnic province of China.
  • A cross-sectional study was conducted using data from the 2023 Hainan Health Service Survey, which included 2686 adult participants with hypertension or diabetes.
  • Patients who contracted a family doctor exhibited significantly better outcomes in follow-up management (OR=5.49, P < 0.001) and disease control (OR=3.75, P < 0.001).
  • Subgroup analyses revealed significant differences in follow-up management and disease control among different ethnic groups and regions.
  • The study concluded that family doctor contracted services play an important role in improving follow-up management and disease control for patients with hypertension and diabetes.
  • Authors Ao Zhang, Yingjie Wang, Shilong Zhang, Yuguo Ye, Zucheng Fang, Yuxing Zheng, Gang Cheng, Qingyue Meng, and Haipeng Wang contributed to the research.

Statistics:

  • 66.34% of respondents had contracted a family doctor.
  • Follow-up management rates were 54.06%, 65.86%, and 60.16% for patients with hypertension, diabetes, and both conditions, respectively.
  • Drug therapy rates were 54.06%, 65.86%, and 60.16% for patients with hypertension, diabetes, and both conditions, respectively.
  • Disease control rates were 54.06%, 65.86%, and 60.16% for patients with hypertension, diabetes, and both conditions, respectively.
  • OR (odds ratio) values for follow-up management and disease control were 5.49 (P < 0.001) and 3.75 (P < 0.001), respectively.

Sources:

  • Association between family doctor contract services and management status among patients with hypertension or diabetes in a multi-ethnic Province of China. BMC Primary Care, 2025,26(1):1-10. doi: 10.1186/s12875-025-03031-5
  • NewsRx. New Findings from Shandong University in the Area of Hypertension Described (Association between family doctor contract services and management status among patients with hypertension or diabetes in a multi-ethnic Province of China). Cardiovascular Week. October 20, 2025; p 314.

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