{"title":"Effect of family doctor contract services on non-communicable disease management among the elderly: a systematic review and meta-analysis.","authors":"Rong Wu, Fei Fei, Tingting Lu, Jing Zhu, Dan Hu","doi":"10.3389/frhs.2025.1462806","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The aim of this meta-analysis was to examine the effect of family doctor contract service on managing non-communicable diseases (NCDs) among elderly patients.</p><p><strong>Methods: </strong>Chinese and English articles published up to 15 July 2022 were systematically searched. Relevant randomized controlled studies (RCTs) were extracted from seven databases: PubMed, Coherence, Embase, Web of Science, CNKI, Wanfang Data, and WeiPu. All these studies have evaluated the effect of family doctor contract services on chronic disease management among the elderly. A meta-analysis was conducted using either random or fixed effects. Mean difference and risk ratio were used to analyze quantitative and qualitative data, respectively.</p><p><strong>Results: </strong>We identified that 25 independent studies, involving 4,046 elderly patients with chronic diseases across China, were eligible for meta-analysis. The results from these RCTs indicated that family doctors could disseminate knowledge about NCDs to elderly patients, improve their disease management abilities (including drug compliance, healthy diet, regular exercise, non-smoking, and non-drinking), lower blood pressure and blood glucose levels, reduce BMI, and increase quality of life and patient satisfaction (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Family doctor contract services could improve health management for elderly patients with NCDs and should be promoted in China.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"5 ","pages":"1462806"},"PeriodicalIF":1.6000,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11985813/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in health services","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3389/frhs.2025.1462806","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: The aim of this meta-analysis was to examine the effect of family doctor contract service on managing non-communicable diseases (NCDs) among elderly patients.
Methods: Chinese and English articles published up to 15 July 2022 were systematically searched. Relevant randomized controlled studies (RCTs) were extracted from seven databases: PubMed, Coherence, Embase, Web of Science, CNKI, Wanfang Data, and WeiPu. All these studies have evaluated the effect of family doctor contract services on chronic disease management among the elderly. A meta-analysis was conducted using either random or fixed effects. Mean difference and risk ratio were used to analyze quantitative and qualitative data, respectively.
Results: We identified that 25 independent studies, involving 4,046 elderly patients with chronic diseases across China, were eligible for meta-analysis. The results from these RCTs indicated that family doctors could disseminate knowledge about NCDs to elderly patients, improve their disease management abilities (including drug compliance, healthy diet, regular exercise, non-smoking, and non-drinking), lower blood pressure and blood glucose levels, reduce BMI, and increase quality of life and patient satisfaction (P < 0.05).
Conclusion: Family doctor contract services could improve health management for elderly patients with NCDs and should be promoted in China.
目的：本荟萃分析的目的是检验家庭医生合同服务对老年患者非传染性疾病（NCDs）管理的影响。方法：系统检索截至2022年7月15日发表的中英文文章。相关随机对照研究（rct）提取自PubMed、Coherence、Embase、Web of Science、CNKI、万方数据和微普等7个数据库。这些研究都评估了家庭医生合同服务对老年人慢性病管理的影响。采用随机效应或固定效应进行meta分析。采用均数差和风险比分别对定量和定性数据进行分析。结果：我们确定了25项独立研究，涉及4046名中国老年慢性病患者，符合meta分析的条件。这些rct结果表明，家庭医生可以向老年患者传播非传染性疾病知识，提高老年患者的疾病管理能力（包括药物依从性、健康饮食、规律运动、不吸烟、不饮酒），降低血压和血糖水平，降低BMI，提高生活质量和患者满意度(P家庭医生合同服务可以改善老年非传染性疾病患者的健康管理，应在中国推广。
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