Quantitative evaluation of hypertension screening and new case report system based on standard health reporting [43 files], fiscal year 2017

Abstract

Background: Screening for early diagnosis of hypertension is one of key strategies in preventing adverse consequences. This study is an assessment of hypertension screening and surveillance. Objectives were to measure the quantitative characteristics of the screening system for hypertension in 4 provinces (Suphan Buri, Lampang, Sakon Nakhon and Trang), in fiscal year 2017.
Methods: The target population screening data (aged 35 years and over) in sub- district health promoting hospitals/ Community Primary Health Center and a newly diagnosed people with high blood pressure, were reviewed based on medical service database, or “43–file Reporting System”. Quantitative attributes to evaluate included high blood pressure screening coverage, completeness of screening record data, and rate of newly diagnosed hypertension among people with abnormal screening result. Data were analyzed and presented using number, proportions. Chi–squared test was performed.
Results: The coverage of hypertension screening was 95%, abnormal blood pressure was 6%, and 9% of newly hypertensive patients were diagnosed by screening. Registered new case with the highest number of new hypertension patients in Trang (16%), followed by Suphan Buri (10%), Sakon Nakhon (6%) and Lampang (4%). Compared with average 1.25% in urban communities and 8.79% in non–urban districts, there was a statistically significant difference (p < 0.05).
Conclusion and discussion: The annual screening of hypertension in the target population (aged 35 years and over), 9% of new hypertension patients were diagnosed. There are questions from multiple disease systems to integrate in each screening and the questionnaires were different integrate in each screening.