County Medical Community-based, Cardiovascular Risk Stratified Integrated Care Model: a Pr
The goal of this cluster randomized trial is to evaluate the effectiveness of the RISIMA model based on an integrated county healthcare consortium implemented by multi-level family health teams (FHTs)on patients with diabetes and/or hypertension, including CVD risk assessment, treatment, and management.
| Condition(s) | Hypertension, Diabetes Mellitus Type 2, Cardiovascular Diseases |
|---|---|
| Status | Recruiting |
| Phase | NA |
| Study type | Interventional |
| Summary | The goal of this cluster randomized trial is to evaluate the effectiveness of the RISIMA model based on an integrated county healthcare consortium implemented by multi-level family health teams (FHTs)on patients with diabetes and/or hypertension, including CVD risk assessment, treatment, and management. |
| Who can participate | 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 |
| Ages | 40 Years to 70 Years |
| Sex | All |
| Lead sponsor | Peking University |
| Locations | Sanming, Fujian, China; Liuzhou, Guangxi, China; Liuzhou, China |
| Start date | 2024-05-20 |
| NCT ID | NCT06302127 |
| Official listing | https://clinicaltrials.gov/study/NCT06302127 |