County Medical Community-based, Cardiovascular Risk Stratified Integrated Care Model: a Pragmatic Cluster Randomised Control Trial

Launched by PEKING UNIVERSITY · Mar 4, 2024

Keywords

ClinConnect Summary

This clinical trial, called the RISIMA model, is looking at how a special healthcare program can help people with conditions like high blood pressure (hypertension) and type 2 diabetes, as well as those at risk for heart disease. The study is taking place in a county where family health teams will work together to provide better care and management for these patients. The goal is to see if this new approach can improve health outcomes for people in the community.

To be eligible for this trial, participants need to be between 40 and 70 years old, live in the county where the study is happening, and already be registered with a family doctor team in their area. They should have either hypertension or diabetes. Participants will receive support and care tailored to their needs, and the trial is currently active but not looking for new volunteers. It’s important to note that some individuals may not be able to participate if they have other serious health issues, live too far from the health center, or are pregnant or breastfeeding. Overall, this trial aims to make a real difference in managing these common health conditions.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. Aged between 40 and 70 years old;
• • 2. Patients with hypertension or diabetes;
• • 3. Permanent residents of the county where the research is conducted;
• • 4. Already signed up with the family doctor team in the township where the research is located.
• Exclusion Criteria:
• • 1. Unable to independently carry out the interventions required for the study;
• • 2. Residing far from the village or township health center where the research is located, making it difficult to cooperate with visits;
• • 3. Patients who refuse to participate;
• • 4. Patients with comorbidities such as cancer that may interfere with the study visits or intervention effects;
• • 5. Pregnant or lactating women