Effect of a primary care physician-focused, population-based approach to blood pressure control.
| Autor: | Maue SK; Applied Health Outcomes, Tampa, FL 33609, USA. smaue@appliedoutcomes.com, Rivo ML, Weiss B, Farrelly EW, Brower-Stenger S |
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| Jazyk: | angličtina |
| Zdroj: | Family medicine [Fam Med] 2002 Jul-Aug; Vol. 34 (7), pp. 508-13. |
| Abstrakt: | Background and Objectives: A large majority of hypertensive patients are cared for in primary care settings, and most of them do not have adequately controlled blood pressure. AvMed Health Plan, a large Florida-based, nonprofit, physician network health maintenance organization, initiated a program to assist primary care physicians to achieve a greater degree of blood pressure control in their hypertensive patients. Concomitantly, a study was designed to determine whether this physician-focused intervention improved blood pressure control in these patients. Methods: Data were collected from pharmacy claims and medical charts for random samples of treated hypertensive patients prior to and following a 6-month educational intervention aimed at providers. Analysis of the data sets was conducted to determine what percentage of subjects achieved target blood pressure goals before and after the intervention. Results: At baseline, 41% of the total population had achieved a target blood pressure of <140/90 mm Hg; 52% achieved this goal following the intervention. When target blood pressure goals were defined as <140/90 mm Hg for nondiabetic subjects and < 130/85 mm Hg for diabetic subjects, 36% of the total population achieved target blood pressure goals at baseline; 47% achieved these goals following the intervention. Conclusions: A physician-focused intervention significantly improved blood pressure control in diabetic and nondiabetic hypertensive patients enrolled in AvMed Health Plan. |
| Databáze: | MEDLINE |
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