Colour coded client segmentation (CCCS) public health approach to educate the community to deal with problem of hypertension: A pilot study
نویسندگان
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2 Demonstrator, Department of Community Medicine, Government Medical College, Srinagar, Jammu and Kashmir, India
3 Department of Community Medicine, Heritage Institute of Medical Sciences, Varanasi, Uttar Pradesh, India,
4 Deputy Dean, Asia Metropolitan University, Johor, Malaysia,
5 Department of Community Medicine and School of Public Health, PGIMER, Chandigarh, India
doi
چکیده
INTRODUCTION: We know that risk communication is equally important as risk identification, whichis usually not communicated properly to the patients and resulting in poor outcomes, especially inhypertensive patients.OBJECTIVE: Our study objective was to evolve and test a colour coded client segmentation basedpublic health approach to educate the community to deal with problem of hypertension.METHODOLOGY: This cross‑sectional pilot study was done in March 2020 among purposively approachedin a primary health centre to 100 people aged above 18 years, among them 41 gave written consent for thestudy and their demographic information was noted. They were given colour coded cards as per the currentblood pressure level and previous history of hypertension. On each colour coded card, specific advicewas written for that category. For all the participants, blood pressure and treatment seeking behaviour wasnoted. For hypertensive patients, adherence to medication and non‑pharmacological measures was noted.RESULTS: Mean age of the participants was 46.5 ± 13.06 years. Mean systolic blood pressure (SBP)and diastolic blood pressure (DBP) of the participants were 135 ± 16.85 mm Hg and 86 ± 11.42mm Hg, respectively. Among the participants, 10 (24.39%) had a known history of hypertension.Among them, as per the blood pressure levels measured on the day of the study 50% (5) had theirblood pressure levels under control. Interestingly 16 (39%) participants were found hypertensiveincidentally.DISCUSSION: It is evident from the studies that colour coded approach is used in multiple ways, inmultiple settings, for multiple diseases. To our knowledge, little focus has been given for hypertensivedisorders in the community level. We merely bother about making their risk profiling, even in thedigital age. Sometimes physicians in emergency become puzzled whenever patients collapsed in frontof them and we missed the “Golden Hour” for the treatment by searching patients’ medical details.CONCLUSION AND RECOMMENDATIONS: The above problem can be solved by risk profiling ofchronic patients by colour coded OPD/Health cards.
