TUÂN THỦ LỊCH TÁI KHÁM VÀ MỘT SỐ YẾU TỐ LIÊN QUAN TRÊN NGƯỜI BỆNH TĂNG HUYẾT ÁP ĐƯỢC QUẢN LÝ TẠI PHÒNG KHÁM ĐA KHOA TRƯỜNG ĐẠI HỌC Y TẾ CÔNG CỘNG NĂM 2022

Abstract

Hypertension is a common chronic disease in the community. Patients with hypertension need to be periodically treated in medical facilities. Compliance with the follow-up schedule helps facilitate patient management at medical facilities to improve treatment efficiency and prevent complications for patients. Objectives: Determine the percentage of hypertensive patients who adhere to the follow-up schedule at the General Clinic of the University of Public Health in 2022 and find out some factors related to the appointment compliance rate. Methods: Design a cross-sectional descriptive study combining quantitative and qualitative information, collecting information from 402 medical records of management and treatment of hypertension, in-depth interviews with 2 doctors, 3 nurses, and 10 hypertensive patients. Results: The results show that the follow-up schedule compliance rate is 44.79%. The age group 60-69 tended to have more scheduled follow-up visits than the age group under 50 (OR= 2.51, p<0.05). Complicated patients tended to have more on-time follow-up visits than patients with uncomplications (OR=6.91, p<0.05). Patients who use health insurance in combination with self-pay for medication tend to have follow-up appointments on time than patients who only use health insurance to receive drugs (OR=1.59, p<0.05). Patients who use health insurance combined with self-pay for paraclinical services tend to have on-time follow-up visits than patients who only use health insurance to pay.