Evaluation on the Effects of a New Integrated Health Management Service Model on People With Risk Factors for Dyslipidemia

Abstract Background: Dyslipidemia is a factor affecting the occurrence and development of many chronic diseases. With its prevalence increasing year by year, dyslipidemia has caused a huge burden of disease and economy in China and even the world. Appropriate health management is imperative for people with risk factors for dyslipidemia. However, the traditional health management service models mainly focus on the population with chronic diseases. Therefore, we need to establish new models of health management services to more appropriately manage people with risk factors for dyslipidemia. Methods: Among the 5 administrative districts with a population of more than 100,000 in Shenyang, 23 community health service centers with an average daily outpatient number of more than 50 were selected. A total of 5,032 subjects with risk factors for dyslipidemia who met the inclusion criteria were included in this study. Using prospective cohort study methods. The subjects were followed up for 24 months. They were randomly divided into control group and test group , and received integration of general practice and personalized disease prevention in health management (IGPDP) or traditional health management services, respectively. We analyzed and compared changes in disease prevention, health protection, and health promotion between the two groups at baseline, 12 months after the intervention, and 24 months after the intervention.Results: In terms of disease prevention, we found that after the intervention, participants' behavioral risk factors (smoking, diet, sedentary) improved and their health literacy improved. In terms of health protection, we observed a decrease in BMI (biological risk factor), a gradual improvement in blood lipid levels, and an overall increase in quality of life scores. In terms of health promotion, after the intervention, the proportion of the subjects willing to accept the contracted services of general practitioners increased.Conclusion: IGPDP can effectively cultivate healthy lifestyle of subjects, improve health literacy, reduce biological risk factors, reduce the risk of dyslipidemia, and improve subjects' quality of life. IGPDP is conducive to improving the service quality of general practitioners, the trust of the general public, and facilitating the establishment of a hierarchical medical system.