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Organisational factors in relation to control of blood pressure: an observational study

Melanie Inkster1, Alan Montgomery, Peter Donnan

  • 1Tayside Centre for General Practice, University of Dundee.

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|December 28, 2005
PubMed

Insights

Many patients with hypertension struggle to reach blood pressure targets. Increased hypertension-related consultations were linked to poorer blood pressure control, indicating a need for improved primary care strategies.

Area of Science:

  • Cardiology
  • Primary Care Medicine
  • Public Health

Background:

  • A significant majority of hypertension patients in general practice do not achieve target blood pressure levels (<150/90 mmHg).
  • Suboptimal blood pressure control remains a persistent challenge in community-based hypertension management.

Purpose of the Study:

  • To examine hypertension management factors, including sociodemographic variables, antihypertensive drug regimens, and organizational aspects within primary care settings.
  • To identify key determinants influencing blood pressure control in a hypertensive patient cohort.

Main Methods:

  • An observational study conducted over three years across eight general practices in Tayside, UK.
  • Involved 560 randomly selected hypertensive patients aged 40-79 years, assessing blood pressure control against the British Hypertension Society standard (<150/90 mmHg).

Main Results:

  • Nearly half (49%) of eligible patients had inadequate blood pressure control at study conclusion.
  • No significant associations were found with sex, age, deprivation, or comorbidity.
  • Increased hypertension-related consultations correlated with a higher likelihood of inadequate blood pressure control; drug treatment modifications did not significantly impact control.

Conclusions:

  • Achieving adequate blood pressure control is a major ongoing health issue for a substantial hypertensive population.
  • Effective hypertension care delivery in the community is influenced by patient, physician, and organizational factors.
Abstract

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