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Effects of integrated chronic care models on hypertension outcomes and spending: a multi-town clustered randomized trial in China

Overview of attention for article published in BMC Public Health, March 2017
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  • Above-average Attention Score compared to outputs of the same age and source (60th percentile)

Mentioned by

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6 tweeters
facebook
1 Facebook page

Citations

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16 Dimensions

Readers on

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146 Mendeley
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Title
Effects of integrated chronic care models on hypertension outcomes and spending: a multi-town clustered randomized trial in China
Published in
BMC Public Health, March 2017
DOI 10.1186/s12889-017-4141-y
Pubmed ID
Authors

Yuting Zhang, Wenxi Tang, Yan Zhang, Lulu Liu, Liang Zhang

Abstract

Hypertension affects one billion people globally and is one of the leading risk factors for cardiovascular and renal diseases. However, hypertension management remains poor, especially in rural China. A clustered randomized controlled trial was conducted in six towns in China's Qianjiang county between 7/2012 and 6/2014, including 5462 hypertension patients above 35 years old. Six towns were randomly assigned to three groups: Group 1 had the integrated care model including a multidisciplinary team and continuous care coordination, Group 2 had both the integrated care model and provider-level financial incentives, and the control group had the usual care. Primary outcomes were systolic blood pressure and health-related quality of life measured by SF36; secondary outcomes included hypertension-related hospitalization rate and inpatient spending. Blood pressure was measured sixteen times bimonthly between 12/1/2011 and 6/30/2014, and quality of life was measured on 7/1/2012 and 6/30/2014. Inpatient data between 7/1/2010 and 8/31/2014 were used. This trial is registered at the World Health Organization's International Clinical Trials Registry, number ChiCTR-OOR-14005563. We found that the integrated care model effectively lowered blood pressure by 1.93 mmHg (95% CI 0.063-3.8), improved self-assessed health-related quality of life, and reduced the rate of hypertension-related hospitalization by 0.17 percentage points (95% CI 0.094-0.24). We also found that the provider-level financial contract further lowered blood pressure by 1.76 mmHg (95% CI 0.73-2.79) and reduced rates of hospitalization and inpatient spending, but it also reduced patients' self-assessed health-related quality of life. Integrated care and financial incentives are effective in lowering blood pressure and reducing hospitalization rate, but financial contracts may hurt patient quality of life. This trial was registered at the Chinese Clinical Trial Registry (ChiCTR-OOR-14005563) on November 23, 2014. It was a retrospective registration.

Twitter Demographics

The data shown below were collected from the profiles of 6 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 146 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 146 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 22 15%
Researcher 19 13%
Student > Bachelor 8 5%
Other 6 4%
Student > Doctoral Student 6 4%
Other 23 16%
Unknown 62 42%
Readers by discipline Count As %
Nursing and Health Professions 23 16%
Medicine and Dentistry 21 14%
Social Sciences 7 5%
Economics, Econometrics and Finance 6 4%
Pharmacology, Toxicology and Pharmaceutical Science 6 4%
Other 21 14%
Unknown 62 42%

Attention Score in Context

This research output has an Altmetric Attention Score of 5. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 March 2017.
All research outputs
#6,018,888
of 22,959,818 outputs
Outputs from BMC Public Health
#6,162
of 14,960 outputs
Outputs of similar age
#97,102
of 308,253 outputs
Outputs of similar age from BMC Public Health
#72
of 180 outputs
Altmetric has tracked 22,959,818 research outputs across all sources so far. This one has received more attention than most of these and is in the 73rd percentile.
So far Altmetric has tracked 14,960 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.9. This one has gotten more attention than average, scoring higher than 58% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 308,253 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 68% of its contemporaries.
We're also able to compare this research output to 180 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 60% of its contemporaries.