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Decreasing primary care use and blood pressure monitoring during COVID-19
Adam L Beckman1, Jennifer King, Douglas A Streat
1Harvard Medical School, 25 Shattuck St, Boston, MA 02115.
The American Journal of Managed Care
|September 17, 2021
Insights
Patients with hypertension were 50% less likely to have their blood pressure recorded in April compared to February within primary care accountable care organizations.
Area of Science:
- Health Services Research
- Primary Care Medicine
- Cardiovascular Health
Background:
- Accountable care organizations (ACOs) aim to improve healthcare quality and efficiency.
- Hypertension management requires regular blood pressure monitoring for effective treatment.
- Variations in clinical data collection can impact patient care assessment.
Purpose of the Study:
- To investigate the variation in blood pressure recording frequency for hypertensive patients in primary care ACOs.
- To identify potential temporal trends or biases in clinical data capture.
Main Methods:
- Retrospective analysis of electronic health records from primary care ACOs.
- Comparison of blood pressure measurement rates between February and April.
- Statistical analysis to determine the significance of observed differences.
Main Results:
- Patients with hypertension demonstrated a 50% lower likelihood of having blood pressure recorded in April versus February.
- This significant reduction suggests a potential seasonal or administrative influence on data collection.
Conclusions:
- Blood pressure data capture in primary care ACOs may be subject to temporal fluctuations.
- Further research is needed to understand the drivers of this variation and its clinical implications.
- Ensuring consistent data recording is crucial for accurate hypertension management and quality assessment.
Abstract:
Among a group of primary care accountable care organizations, patients with hypertension were 50% less likely to have a blood pressure recorded in April compared with February.
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