Concept for developing a care system for hypertension among the elderly in the community

Abstract

Hypertension is one of the most common chronic diseases in the elderly.  In addition to health problems, it also found that older adults with high blood pressure had higher treatment costs. From the literature review, it was found that the community-based hypertension care system was developed in many forms by using the chronic care model that covered all 6 components: 1) the health care organization's policies are clear. 2) clinical Information systems.  3) decision support systems 4) service system design 5) self-care management support and 6) community connections. These 6 aspects play an important role in the management of hypertension among the elderly in the community. However, it was found that the care system for hypertension among the elderly in the community was a fragmented operation. Most of which focus on supporting self-care management, resulting in the elderly being able to control blood pressure levels and without complications, but the prevalence of hypertension in the elderly group has increased partly due to Aging, partly due to self-care behaviors and lack of community support, It reflects that the existing service system is not comprehensive and not as efficient as it should be. The concept for developing a care system for hypertension among the elderly in the community should be a combination and link the concepts of various service systems together with a continuous care plan designed to ensure that all parts are systematically linked for further quality management