Background
Research shows that primary care can help manage chronic diseases, even in places with limited resources. However, we need to understand the long-term effects of these interventions. This study looked at a program called SINEMA, which used technology to help stroke patients, and how it affected their survival rates six years after the trial ended.
Study Overview
The SINEMA trial was conducted in 50 villages in rural China from July 2017 to July 2018. Village doctors were trained and provided with a mobile health app to support stroke patients with monthly check-ins and daily voice messages. We followed up with these patients and their spouses to see how they were doing years later.
Key Findings
Out of 1,299 stroke patients followed for up to six years, 276 (21.2%) died. The study found that:
- 19.0% of patients in the SINEMA group died compared to 23.4% in the control group.
- Cardiovascular deaths were lower in the SINEMA group (14.4%) compared to the control group (17.7%).
- No significant difference was found for stroke-related deaths between the two groups.
Conclusions
The SINEMA program showed a significant reduction in overall and cardiovascular-related deaths over six years, indicating that this approach may provide long-term benefits for stroke patients.
Opportunities for Clinics and Patients
Based on the trial data, clinics can set clear goals to improve patient care:
- Define measurable outcomes to track patient health.
- Select AI tools that meet specific clinical needs for better patient management.
- Implement the program step by step, starting with a pilot project to monitor results.
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