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Better physician-patient communication; an important milestone in control of hypertension, a multicenter study from

Aysha Almas1, Faridah Bhamani2, Aamir Hameed Khan1

  • 1Department of Medicine, The Aga Khan University Hospital, Karachi.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|December 20, 2014
PubMed

Insights

A positive patient-physician encounter significantly improves hypertension control. Better communication and higher physician encounter scores correlate with better adherence to antihypertensive medications, reducing cardiovascular risks.

Area of Science:

  • Cardiology
  • Public Health
  • Health Services Research

Background:

  • Hypertension management is critical for preventing cardiovascular disease.
  • The patient-physician relationship's impact on hypertension control requires further investigation.

Purpose of the Study:

  • To compare physician encounter scores between patients with controlled and uncontrolled hypertension.
  • To assess the association between patient-physician encounters and hypertension management outcomes.

Main Methods:

  • A comparative study conducted in three tertiary care hospitals in Karachi.
  • Patients were classified as having controlled or uncontrolled hypertension based on initial blood pressure readings.
  • The physician encounter score, a 12-item composite measure, was the primary variable analyzed.

Main Results:

  • Controlled hypertension was observed in 72.3% of participants, while 27.4% had uncontrolled hypertension.
  • Patients with controlled hypertension achieved a higher mean physician encounter score (7.83 ± 2.22) compared to those with uncontrolled hypertension (7.25 ± 2.64), with a statistically significant difference (p=0.02).

Conclusions:

  • The patient-physician encounter is a crucial factor in achieving effective hypertension control.
  • Enhanced patient-physician interactions appear to promote better adherence to antihypertensive therapies, contributing to improved cardiovascular health outcomes.

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