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Related Experiment Videos

Blood pressure control in private practice: a case report.

A L Engelland, M H Alderman, H B Powell

    American Journal of Public Health
    |January 1, 1979
    PubMed
    Summary

    Most high blood pressure care in private physician offices shows poor patient follow-up and inadequate blood pressure control. This conventional ambulatory care model may not be suitable for long-term hypertension management.

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    Annals of internal medicine·2001

    Area of Science:

    • Cardiology
    • Public Health
    • Internal Medicine

    Background:

    • High blood pressure (hypertension) is frequently managed in private physician offices.
    • The effectiveness of this common care model for hypertension requires evaluation.

    Purpose of the Study:

    • To assess the efficacy of ambulatory care in a private physician's office for managing high blood pressure.
    • To determine patient attendance rates and blood pressure control outcomes.

    Main Methods:

    • Retrospective review of patient charts from a Board Certified, University Medical Center affiliated internist in New York City.
    • Analysis of blood pressure readings and medication status at last visit for 17% of patients.
    • Detailed examination of attendance and blood pressure outcomes for a selected group of 206 patients.

    Main Results:

    • Over half of the 206 patients were lost to follow-up within one year.
    • Among patients who continued therapy, 55% achieved good blood pressure control (defined as <160/95 mmHg).
    • No significant difference in blood pressure outcomes was observed between medicated and non-medicated patients.

    Conclusions:

    • The conventional model of ambulatory care for hypertension is characterized by high patient attrition.
    • This care pattern demonstrates a failure to adequately control blood pressure in a significant portion of patients.
    • The current approach may be unsuitable for the long-term management of high blood pressure.

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