To survey the utilization of basic public health service among hypertensive and diabetic patients in communities.

A survey on the utilization of basic public health service was conducted between October 2014 and November 2014, 1 511 patients with hypertension and 1 508 patients with type 2 diabetes aged ≥35 years were randomly selected for the survey from 18 communities in 2 cities and 4 townships of Shandong and Jiangsu provinces in China.

The survey showed that 87.0% (1 314/1 511) of hypertensive patients and 88.5% (1 334/1 508) of diabetic patients visited community health services within the year, and the blood pressure/blood glucose elevation were found in community health services in 68.5% (1 035/1 511) of the hypertensive patients and 53.3% (804/1 508) of the diabetic patients, respectively. The proportion of participants in community health education was higher in rural areas than that in urban areas [hypertension 73.2% (556/760) vs. 60.3% (453/751), χ²=48.48, P<0.01; diabetes 77.8% (591/760) vs. 62.6% (468/748), χ²=43.73, P<0.01]. The proportion of outpatients who were followed up for more than 4 times was higher in rural areas than that in urban areas [hypertension 61.3% (466/760) vs. 48.4% (363/751), χ²=79.31, P<0.01; diabetes 58.8% (447/760) vs. 50.5% (378/748), χ²=17.78, P<0.01]. The self-test rate of blood pressure and blood glucose in the urban was higher than that in rural areas [hypertension 41.8% (314/751) vs. 17.8% (135/760), χ²=104.59, P<0.01; diabetes 41.7% (312/748) vs. 11.3% (86/760), χ²=179.28, P<0.01]. The proportion of patients with hypertension who did not take medication was higher in rural areas than in that in urban areas [36.7% (279/760) vs. 24.0% (180/751), χ²=70.88, P<0.01], and the proportion of patients with diabetes who did not take medication was not statistically significant between rural and urban areas [20.8% (156/760) vs. 19.8% (148/748), χ²=1.95, P>0.05]. The control rates of hypertension and diabetes were 39.8% (602/1 511) and 39.6% (597/1 508), respectively. 82.5% (1 247/1 511) hypertensive patients and 75.6% (1 140/1 508) diabetic patients selected community clinics for treatment and disease management, and satisfaction rate with primary health care in community clinics were 82.1%(1 077/1 312) and 82.5% (1 101/1 334) respectively.

High percentage of community clinic choice and visit was found, and most of the patients got the recommendation about health life style. But difference existed between the practice of self-monitoring of blood pressure and fasting blood glucose and control of blood pressure and blood glucose and plan of chronic disease prevention and control.

Hypertension; Diabetes inellitus, type 2; Public health care; Disease management