Continuity of Care and the Control of High Blood Pressure at Colombian Primary Care Services

Autor: Alvaro Silva, Diana Oviedo, Lena Barrera, Fabián Méndez, Diego Tovar
Rok vydání: 2021
Předmět:
Zdroj: Inquiry: A Journal of Medical Care Organization, Provision and Financing
Inquiry: The Journal of Health Care Organization, Provision, and Financing, Vol 58 (2021)
ISSN: 1945-7243
0046-9580
Popis: Continuity of care (COC) has been associated with lower mortality and hospitalizations and higher high blood pressure (HBP) control rates. This evidence mainly came from high income countries. We aimed to identify conditions associated with controlled HBP, particularly COC, in primary care services (PCSs) affiliated to two health insurances in Colombia, a low-median income country. A longitudinal observational study was carried out using clinical records of hypertensive adults >18 years with ≥4 clinic visits attending a contributive and a subsidized PCS in Cali (Colombia) between 2013 and 2014. Subsidized PCSs were for unemployment people and those at low socio-economic position and contributive for formal workers. COC was measured using the Bice and Boxerman index. Logistic regression models were performed to quantify the relation between COC and controlled HBP (blood pressure
Databáze: OpenAIRE