Volume 24 Issue 4
Apr.  2026
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Article Navigation >  Chinese Journal of General Practice  > 2026  >  24(4): 605-609
WANG Hui, GU Shenghong, ZHANG Yunbo, SONG Yanling, JI Xinbo, HU Shiling. Analysis of the effectiveness of the '1+1+1' management model for chronic disease management at the primary level in Hainan Province[J]. Chinese Journal of General Practice, 2026, 24(4): 605-609. doi: 10.16766/j.cnki.issn.1674-4152.004450
Citation: WANG Hui, GU Shenghong, ZHANG Yunbo, SONG Yanling, JI Xinbo, HU Shiling. Analysis of the effectiveness of the "1+1+1" management model for chronic disease management at the primary level in Hainan Province[J]. Chinese Journal of General Practice, 2026, 24(4): 605-609. doi: 10.16766/j.cnki.issn.1674-4152.004450
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Analysis of the effectiveness of the "1+1+1" management model for chronic disease management at the primary level in Hainan Province

doi: 10.16766/j.cnki.issn.1674-4152.004450
  • 1.

    Department of General Medicine, First Affiliated Hospital of Hainan Medical University, Haikou, Hainan 570100, China

Funds:

 琼医改办〔2023〕4号

  • Received Date: 2025-03-17
    Abstract
  •   Objective  By comparing the management effects of different management models on patients with chronic disease in primary healthcare institutions in Hainan Province, this study aimed to optimize the management model for chronic disease patients.  Methods  From January 2017 to January 2021, 915 patients with chronic diseases were randomly selected from 19 primary healthcare institutions in Hainan Province. They were divided into a control group (n=463) and an intervention group (n=452) using a random number table method. The control group received routine management, while the intervention group received chronic disease "1+1+1" management model. Basic information, management control indicators, lifestyle and exercise indicators, and patient satisfaction data were collected and compared after 2 years.  Results  After 2 years of intervention, the fasting and 2-hour post-meal blood glucose, glycosylated hemoglobin, triglycerides, alcohol consumption and hospitalization rates in the intervention group were (6.99±1.58) mmol/L, (10.15±2.15) mmol/L, (6.25±0.83)%, 1.66(1.26, 2.40) mmol/L, 22.8% (103 cases) and 17.0% (77 cases), respectively, which were lower than those in the control group [(6.40±2.19) mmol/L, (8.70±2.86) mmol/L, (5.69±1.04)%, 1.06(0. 60, 1. 80) mmol/L, 44.1% (204 cases) and 31.5% (146 cases)], and the differences were statistically significant (P < 0.05); the complete medication compliance, management rate, physical exercise and satisfaction rates in the intervention group were 412 cases (91.2%), 412 cases (91.2%), 333 cases (73.7%), respectively, which were higher than those in the control group [377 cases (81.4%), 354 cases (76.5%), 186 cases (40.2%)], and the differences were statistically significant (P < 0.05).  Conclusion  The application of the chronic disease "1+1+1" management model in primary healthcare institutions is more effective than conventional management in managing chronic disease patients.

     

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    • References(19)
  • [1]
    BUKHMAN G, MOCUMBI A, WROE E, et al. The PENPlus Partnership: addressing severe chronic noncommunicable diseases among the poorest billion[J]. Lancet Diabetes Endocrinol, 2023, 11(6): 3846.
    [2]
    WU J, GAO X, YANG Z, et al. Nonpharmacological interventions for prevention and treatment of noncommunicable diseases with experiences from China[J]. BMJ (Clinical research), 2024, 387: e076764. DOI: 10.1136/bmj-2023-076764.
    [3]
    田佳禾, 刘翔, 陈红, 等. 慢性非传染性疾病社区健康管理模式的内涵及对我国的启示[J]. 中华全科医学, 2022, 20(12): 1995-1999. doi: 10.16766/j.cnki.issn.1674-4152.002754

    TIAN J H, LIU X, CHEN H, et al. Connotation of the community health management models of chronic non-communicable diseases and its revelations to our country[J]. Chinese Journal of General Practice, 2022, 20(12): 1995-1999. doi: 10.16766/j.cnki.issn.1674-4152.002754
    [4]
    CHEN X, GILES J, YAO Y, et al. The path to healthy ageing in China: a Peking University Lancet Commission[J]. Lancet (London, England), 2022, 400(10367): 19672006. DOI: 10.1016/S0140-6736(22)01546-X.
    [5]
    ZHANG M, SHI Y, ZHOU B, et al. Prevalence, awareness, treatment, and control of hypertension in China, 200418: findings from six rounds of a national survey[J]. BMJ (Clinical research ed), 2023, 380: e071952. DOI: 10.1136/BMJ-2022-071952.
    [6]
    IZQUIERDO M, MERCHANT R A, MORLEY J E, et al. International exercise recommendations in older adults (ICFSR): expert consensus guidelines[J]. J Nutr Health Aging, 2021, 25(7): 82453. DOI: 10.1007/s12603-021-1665-8.
    [7]
    LEE A Y L, WONG A K C, HUNG T T M, et al. Nurseled telehealth intervention for rehabilitation (telerehabilitation) among communitydwelling patients with chronic diseases: systematic review and metaanalysis[J]. J Med Internet Res, 2022, 24(11): e40364. DOI: 10.2196/40364.
    [8]
    SHANG X, LIU J, ZHU Z, et al. Healthy dietary patterns and the risk of individual chronic diseases in communitydwelling adults[J]. Nat Commun, 2023, 14(1): 6704. DOI: 10.1038/s41467-023-42523-9.
    [9]
    中国居民营养与慢性病状况报告(2020年)[J]. 营养学报, 2020, 42(6): 521.

    Report on the nutrition and chronic disease status of Chinese residents (2020)[J]. Acta Nutrimenta Sinica, 2020, 42(6): 521.
    [10]
    SOLDADO-MATOSES M S, CAPLLIURE-LLOPIS J, BARRIOS C. Effectiveness of a home health monitoring and education program for complex chronic patients, led by primary care nurses[J]. Front Public Health, 2023, 11: 1281980. DOI: 10.3389/fpubh.2023.1281980.
    [11]
    SONG M, ZHENG L, CHEN L, et al. Epidemiological characteristics of chronic noncommunicable diseases in Dongfang, China, 2021: a crosssectional survey[J]. BMJ Open, 2024, 14(5): e081710. DOI: 10.1136/BMJOPEN-2023-081710.
    [12]
    TU W J, WANG L D. China stroke surveillance report 2021[J]. Mil Med Res, 2023, 10(1): 33. DOI: 10.1186/s40779-023-00463-x.
    [13]
    YUKSELEN Z, SINGH Y, MALEMPATI S, et al. Virtual patient education for hypertension: the truth about behavioral change[J]. World J Cardiol, 2023, 15(6): 3247. DOI: 10.4330/wjc.v15.i6.324.
    [14]
    WANG J G, ZHANG W, LI Y, et al. Hypertension in China: epidemiology and treatment initiatives[J]. Nat Rev Cardiol, 2023, 20(8): 53145. DOI: 10.1038/s41569-022-00829-z.
    [15]
    COPPOLA A, CHUQUITAYPE M, GUGLIELMO S, et al. Therapeutic patient education and treatment intensification of diabetes and hypertension in subjects with newly diagnosed type 2 diabetes mellitus: a longitudinal study[J]. Endocrine, 2024, 86(1): 12734. DOI: 10.1007/s12020-024-03952-8.
    [16]
    THARANI A, Van HECKE A, ALI T S, et al. Factors influencing nurses ' provision of self-management support for patients with chronic illnesses: a systematic mixed studies review[J]Int J Nurs Stud, 2021, 120: 103983. DOI: 10.1016/j.ijnurstu.2021.103983.
    [17]
    CHEN L, LIU Y, XI X. Study of knowledge, attitude and practice regarding patient education in hypertension among community pharmacists in China[J]. BMC Health Serv Res, 2022, 22(1): 1295. DOI: 10.1186/s12913-022-08686-9.
    [18]
    JAMIL A, SUNDETGALI K, LAURA S, et al. Assessment of satisfaction with drug provision of antihypertensive drugs at the outpatient level of privileged categories of residens[J]. Int J Prev Med, 2022, 13: 69. DOI: 10.4103/ijpvm.
    [19]
    ZHU C, LIAN Z, HUANG Y, et al. Association between subjective wellbeing and allcause mortality among older adults in China[J]. BMC psychiatry, 2023, 23(1): 624. DOI: 10.1186/s12888-023-05079-y.
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