Hypertension control and medication increase in primary care

Y. Asai, R. Heller, E. Kajii

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Over half of treated patients with hypertension are not well controlled. However, little is known about physicians' prescribing behaviour for these patients. Our objective was to clarify whether physicians increase antihypertensive medication in patients with poorly controlled hypertension and what characteristics are predictors of medication increase. This was a retrospective cohort study by surveying medical records in primary care clinics in Tochigi, Japan. Twenty-nine of 79 randomly selected physicians agreed to select 20 consecutive hypertensive patients. This resulted in 547 patients (women 60%; mean (s.d.) age, 68 (12) years) who had blood pressure measurements taken in 1998 and prescription of antihypertensive medication in 1998 and 1999. Mean (s.d.) systolic/diastolic blood pressure was 142 (12)/81 (9) mm Hg and the percentage of patients in good control (
    Original languageEnglish
    Pages (from-to)313-318
    Number of pages5
    JournalJournal of Human Hypertension
    Volume16
    Issue number5
    DOIs
    Publication statusPublished - 2002

    Keywords

    • Ambulatory care
    • Medical records
    • Physicians practice patterns
    • Process assessment

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