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Association between encounter frequency and time to blood pressure control among patients with newly diagnosed

Liliana Sherman1, Mitchell A Pelter1, Robert L Deamer2,3

  • 1Department of Pharmacy, Kaiser Permanente Woodland Hills Medical Center, Woodland Hills, CA, USA.

Journal of Clinical Hypertension (Greenwich, Conn.)
|February 17, 2018
PubMed

Insights

More frequent outpatient visits and shorter intervals between them are linked to better blood pressure (BP) control in hypertensive patients. Longer gaps between appointments decrease the likelihood of achieving target BP.

Area of Science:

  • Cardiology
  • Public Health
  • Health Services Research

Background:

  • Hypertension management requires consistent patient monitoring.
  • Understanding the impact of healthcare encounter frequency on blood pressure control is crucial for optimizing treatment strategies.

Purpose of the Study:

  • To investigate the association between outpatient encounter frequency, intervals, and blood pressure (BP) control.
  • To examine the time to achieve BP control based on visit patterns.

Main Methods:

  • Retrospective cohort study of 95,957 patients.
  • Analysis of outpatient encounter frequency and intervals.
  • Follow-up for up to 1 year to assess BP control achievement and time to control.

Main Results:

  • Patients with uncontrolled BP had longer follow-up durations (292.9 days) than those with controlled BP (232.2 days).
  • The controlled BP group had more encounters (4.1 vs 3.1) on average.
  • Increasing intervals between encounters, especially ≥180 days, were associated with a lower likelihood of achieving BP control.

Conclusions:

  • Outpatient encounter frequency and shorter intervals appear beneficial for achieving blood pressure control.
  • Findings suggest an optimal number of encounters may exist for hypertension management.
  • Healthcare providers should consider visit frequency and scheduling to improve patient outcomes.

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