Participation in and satisfaction to community-based hypertension management among community health workers

ObjectiveTo examine the job involvement in community-based hypertension management,the satisfaction to the management process and its influencing factors among community health workers and to provide practical suggestions for the improvement of community-based hypertension management.MethodsA total of 249 community health workers in 14 administrative regions of Wuhan municipality of Hubei province were randomly selected and surveyed with a self-designed questionnaire in January,2015.The data were analyzed with descriptive methods and logistic regression analysis.ResultsOf all the respondents,71.9% considered that the process of community-based hypertension management met the basic quality requirement;40.2% were satisfied to the implementation of community-based hypertension management;60.6% regarded the treatment of community hypertension patients as their responsibilities,but only 17.3%,28.1%,and 21.3% reported participation in nursing service,health records management,and information system maintenance related to community hypertension patients.The improvements in medical insurance support for patients with chronic diseases，the participation of patients in disease management,incentives for community health service,and financial support for community health staff were suggested by 67.1%,69.5%,71.9%,and 73.9% of the respondents,respectively.Logistic regression analysis revealed that the community health workers with satisfactions to professional training,anti-hypertensive drugs available at community healthcare center,cooperation of patients and the quality of follow-up work were more likely to be satisfied to the implementation of community-based hypertension management.ConclusionThe satisfaction to the implementation of community-based hypertension management is at a general level and mainly influenced by professional training,anti-hypertensive drugs available at community healthcare center,cooperation of patients and the quality of follow-up work among community health workers in Wuhan municipality.