scholarly journals Development of an entirely remote, non-physician led hypertension management program

2019 ◽  
Vol 42 (2) ◽  
pp. 285-291 ◽  
Author(s):  
Naomi D.L. Fisher ◽  
Liliana E. Fera ◽  
Jacqueline R. Dunning ◽  
Sonali Desai ◽  
Lina Matta ◽  
...  
Keyword(s):  
Management Program ◽  
Hypertension Management

scholarly journals Efficacy of a Culturally and Linguistically Competent Community Health Coach Intervention for Chinese with Hypertension

2020 ◽  
Vol 5 (3) ◽  
pp. 111-119
Author(s):  
Wen-Wen Li ◽  
Donna Lew ◽  
Linda Quach
Keyword(s):  
Blood Pressure ◽  
Community Health ◽  
Blood Pressure Control ◽  
Chinese Immigrants ◽  
Pressure Control ◽  
Management Program ◽  
Hypertension Management ◽  
Health Coach ◽  
Cross Sectional ◽  
Question And Answer

Purpose: To develop and pilot test the efficacy of a culturally and linguistically sensitive, community health coach (CHC)-based intervention in Chinese immigrants in improving blood pressure control and medication adherence. Design: This study was conducted in 2017 with a cross-sectional design (n = 23). A CHC intervention was implemented using one 25-minute group educational presentation plus one 10-minute question and answer session at baseline, followed by four, 10-minute bi-weekly group question-and-answer sessions. Findings: There was a significant reduction in both systolic and diastolic blood pressure from baseline to week 8: Systolic BP −17.33 (±11.32) (p < 0.005) and diastolic BP −9.58 (±6.57) (p < 0.005). The mean score for medica- tion adherence was 10.56 (±3.24) (possible range 3–15) at baseline and there was no significant change at week 8 (mean 10.89 ± 3.95) (p = 0.86). Conclusion: The CHC-based hypertension management program showed significant reductions in both systolic and diastolic blood pressures in Chinese immigrants. Since the proposed CHC-based hypertension management program is low cost and easy to establish, further investigation is recommended to generate more results for comparison. Practice Implications: There is potential for the CHC intervention to be implemented in clinical settings to help Chinese immigrants at large achieve optimal blood pressure control.

Abstract P279: Using Systems Redesign to Develop, Implement, and Evaluate the Effectiveness of a Care Transitions and Hypertension Management Program for Veterans With Ischemic Stroke

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Jason J Sico ◽  
Laura Burrone ◽  
Manali Phadke ◽  
Jan-Michael Ragunton ◽  
Paul Hurd ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Care Coordination ◽  
Clinical Pharmacy ◽  
Care Transitions ◽  
Management Program ◽  
Healthcare Personnel ◽  
Categorical Variables ◽  
Hypertension Management ◽  
Post Discharge ◽  
Post Stroke

Introduction: Patients are routinely discharged after an ischemic stroke with uncontrolled hypertension; blood pressure (BP) at discharge predicts BP 6-months post-discharge. Hypothesis: Systems Redesign approaches can develop and implement effective interventions using existing infrastructure more efficiently to improve care transitions and hypertension management for Veterans 6-months post-stroke. Methods: Two external facilitators with expertise in clinical stroke care and Systems Redesign conducted a rapid process improvement workshop with local healthcare personnel and hospital leadership within a large VA medical center providing suboptimal post-stroke BP control. The team process mapped out the current state of BP control post-stroke and conceptualized a future state with enhanced care coordination between inpatient and outpatient providers and increased engagement of underutilized talent within clinical pharmacy and telehealth. The CAre Transitions and Hypertension (CATcH) management program was created and implemented. Chart review was conducted to collect data related to BP and healthcare utilization. Categorical variables were examined by calculating frequency distributions and using chi-square or fisher’s exact tests. Results: A total of 76 Veterans were the recipient of the CATcH program. Compared to Veterans admitted in the 6-months prior to program implementation, utilization of clinical pharmacy (68.4% versus 33.3%; P =0.0002) and telehealth services (48.7% versus 4.2%; P <0.0001). CATcH patients were also more likely to return home/home with services than historical controls (86.6% versus 60.4%; P =0.003). Mean (SD) systolic BP reduction from discharge to 6-month follow-up these CATcH patients was 8.9 (5.3) mmHg. Rates of readmission to the hospital and presenting to the emergency room within the 6-months post-discharge period were not significantly different between groups. Conclusions: Systems Redesign could be used retool existing workflow and enhance care coordination and collaboration. Improving processes related to care transitions and post-stroke hypertension management increased the likelihood of returning to home/home with services and BP control for stroke survivors.

The CRT Hypertension Program

1981 ◽  
Vol 3 (3) ◽  
pp. 13-41
Author(s):  
Bruce Bernstein
Keyword(s):  
Management Program ◽  
Hypertension Management ◽  
Community Renewal ◽  
The University ◽  
University Of Connecticut ◽  
Partial Fulfillment

Since July 1977, medical anthropologists of the University of Connecticut have been involved with the Community Renewal Team of Greater Hartford, Inc. (CRT) in the development, operation and evaluation of a community hypertension management program. In partial fulfillment of the university's commitment to maintain ongoing "contact and support," I was assigned as a "consultant" with the Hypertension Program when program operations began in October 1978.

scholarly journals Barriers and Challenges in Managing Hypertension in Belitung, Indonesia: A Qualitative Study

2021 ◽  
Vol 11 (3) ◽  
pp. 305-317
Author(s):  
Yupin Aungsuroch ◽  
Joko Gunawan ◽  
Rapin Polsook ◽  
Sakuntala Anuruang ◽  
Sitha Phongphibool ◽  
...  
Keyword(s):  
Dietary Habits ◽  
Healthcare Providers ◽  
Management Program ◽  
Hypertension Management ◽  
Nursing Interventions ◽  
Group Discussions ◽  
Qualitative Descriptive ◽  
The Government ◽  
Barriers And Challenges ◽  
Nonprescription Medication

Background: The Government of Indonesia has provided a Chronic Disease Management Program, better known as PROLANIS, to reduce the incidence of hypertension; however, the prevalence of hypertension remains high in the community, especially in Belitung, Indonesia, which warrants further investigation. One of the strategies to decrease the number of hypertensions is by addressing barriers and challenges in hypertension management according to patients’ points of view, which has become a lack of focus in previous studies.Purpose: This study aimed to explore the barriers and challenges of patients in managing hypertension in Belitung, Indonesia.Methods: This research employed a qualitative descriptive study design with 20 hypertensive patients who had access to the PROLANIS program in public health centers. Focus group discussions were conducted for data collection. The content analysis was used for data analysis.Results: Six themes were developed from the data, including (1) Dietary habits: the role of salt, (2) Nonadherence to medication due to the use of traditional medicine, (3) Shopping habit on nonprescription medication, (4) Confusion of anti-hypertensive drugs, (5) Barriers to physical exercise, and (6) Health monitoring and education.Conclusion: This study serves as an input for nurses and healthcare providers to improve the PROLANIS program, especially in hypertension management, as well as to develop new nursing interventions according to the barriers and challenges.

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