The Care Management Network as an Effective Intervention in Mitigating the Risks of Hypertension
Hospitals in southern Hualien teamed with the
Hypertension Joint Care Network. Working with the network, the
team provided a special designed health education to the individual
who had been identified as a hypertension patient in the outpatient
department. Some metabolism improvements achieved. This is a
retrospective study by purposively taking 106 patients from a hospital
between 2008 and 2010. Records of before and after education
intervention of the objects was collected and analyzed to see the how
the intervention affected the patients- hypertension control via clinical
parameter monitoring. The results showed that the clinical indicators,
the LDL-C, the cholesterol and the systolic blood pressure were
significantly improved. The study provides evidence for the
effectiveness of the network in controlling hypertension.
[1] Department of Health. Statistics and Information Network. http://
www.doh.gov.tw/statistic/index.htm, 2010. (Accessed 2010-11-01).
[2] N. R. Cook, J. Cohen, P. K. Hekbert, et al., "Implications of small
reductions in diastolic blood pressure for primary prevention," Arch
Intern Med, vol. 155, pp.701-709, 1995.
[3] Guidelines Subcommittee, World Health Organization. World Health
Organization-International Social of Hypertension. J Hypertension, vol.
17, p.151, 1999.
[4] T. C. Chang, and National Taiwan medical University, The Internal
Medicine. Taipei: Modern Medicine publisher, 2004. (In Chinese).
[5] Y. Z. Tseng, "Complication of hypertension," http:// www. hypertension.
org.tw/dl/d_16.doc, 2010. (Access 2010/11/7). In Chinese.
[6] S. M. Haffner, R. A. Valdez, H. P. Hazuda, B. D. Mitchell, P. A. Morales,
and M. P. Stern, "Prospective analysis of the insulin-resistance
syndrome," Diabetes, vol. 41, pp.715-22, 1992.
[7] L. C. Hwang, The Prevalence of Metabolic Syndrome in Taiwan and the
Incidence of Metabolic Syndrome Development: Sex Differences.
Unpublished master thesis, National Taiwan University, Taipei, 2006. In
Chinese.
[8] N. Sattar, A. Gaw, O. Scherbakova, et al., "Metabolic syndrome with and
without C-reactive protein as a predictor of coronary heart disease and
diabetes in the West of Scotland: A coronary prevention study,
"Circulation, vol. 108, pp.414-419, 2003.
[9] J. D. Otvos, E. J. Jeyarajah, and W. C. Cromwel (2009).Measurement
issues related to lipoprotein heterogeneity. Amer J Cardiol. vol. 90,
22i-29i, 2009.
[10] C. N. Sadur, N. Moline, M. Costa, et al. "Diabetes management in a health
maintenance organization-efficacy of care management using cluster
visits," Diabetes Care, vol. 22, pp.2011-2017, 1999.
[11] M. Kirkman, S. Williams, H. Caffrey, et al.,"Impact of a program to
improve adherence to diabetes guidelines by primary care physicians,"
Diabetes Care, vol. 25, pp.1946-1951, 2002.
[1] Department of Health. Statistics and Information Network. http://
www.doh.gov.tw/statistic/index.htm, 2010. (Accessed 2010-11-01).
[2] N. R. Cook, J. Cohen, P. K. Hekbert, et al., "Implications of small
reductions in diastolic blood pressure for primary prevention," Arch
Intern Med, vol. 155, pp.701-709, 1995.
[3] Guidelines Subcommittee, World Health Organization. World Health
Organization-International Social of Hypertension. J Hypertension, vol.
17, p.151, 1999.
[4] T. C. Chang, and National Taiwan medical University, The Internal
Medicine. Taipei: Modern Medicine publisher, 2004. (In Chinese).
[5] Y. Z. Tseng, "Complication of hypertension," http:// www. hypertension.
org.tw/dl/d_16.doc, 2010. (Access 2010/11/7). In Chinese.
[6] S. M. Haffner, R. A. Valdez, H. P. Hazuda, B. D. Mitchell, P. A. Morales,
and M. P. Stern, "Prospective analysis of the insulin-resistance
syndrome," Diabetes, vol. 41, pp.715-22, 1992.
[7] L. C. Hwang, The Prevalence of Metabolic Syndrome in Taiwan and the
Incidence of Metabolic Syndrome Development: Sex Differences.
Unpublished master thesis, National Taiwan University, Taipei, 2006. In
Chinese.
[8] N. Sattar, A. Gaw, O. Scherbakova, et al., "Metabolic syndrome with and
without C-reactive protein as a predictor of coronary heart disease and
diabetes in the West of Scotland: A coronary prevention study,
"Circulation, vol. 108, pp.414-419, 2003.
[9] J. D. Otvos, E. J. Jeyarajah, and W. C. Cromwel (2009).Measurement
issues related to lipoprotein heterogeneity. Amer J Cardiol. vol. 90,
22i-29i, 2009.
[10] C. N. Sadur, N. Moline, M. Costa, et al. "Diabetes management in a health
maintenance organization-efficacy of care management using cluster
visits," Diabetes Care, vol. 22, pp.2011-2017, 1999.
[11] M. Kirkman, S. Williams, H. Caffrey, et al.,"Impact of a program to
improve adherence to diabetes guidelines by primary care physicians,"
Diabetes Care, vol. 25, pp.1946-1951, 2002.
@article{"International Journal of Business, Human and Social Sciences:50211", author = "Feng-Chuan Pan and Fang-Yue Liu", title = "The Care Management Network as an Effective Intervention in Mitigating the Risks of Hypertension", abstract = "Hospitals in southern Hualien teamed with the
Hypertension Joint Care Network. Working with the network, the
team provided a special designed health education to the individual
who had been identified as a hypertension patient in the outpatient
department. Some metabolism improvements achieved. This is a
retrospective study by purposively taking 106 patients from a hospital
between 2008 and 2010. Records of before and after education
intervention of the objects was collected and analyzed to see the how
the intervention affected the patients- hypertension control via clinical
parameter monitoring. The results showed that the clinical indicators,
the LDL-C, the cholesterol and the systolic blood pressure were
significantly improved. The study provides evidence for the
effectiveness of the network in controlling hypertension.", keywords = "hypertension, joint care management network,cardiovascular diseases, metabolic syndrome.", volume = "4", number = "1", pages = "6-4", }