Quality of Care for Women With High Blood Pressure Falls Short

2001 ◽  
Keyword(s):  
Blood Pressure ◽  
Quality Of Care ◽  
High Blood Pressure

P-138: Factors affecting the quality of care among high blood pressure diabetic patients in Tunisia

2015 ◽  
Vol 64 ◽  
pp. S70
Author(s):  
M. Ben Cheikh ◽  
M. Omri ◽  
S. Mhidhli ◽  
T. Harrabi ◽  
H. Mhalla ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Quality Of Care ◽  
High Blood Pressure ◽  
Diabetic Patients ◽  
Factors Affecting

Abstract 306: Guideline-based Strategies for Improving Control of High Blood Pressure: The 2019 Acc/Aha Performance and Quality Measures for Adults With High Blood Pressure

2020 ◽  
Vol 13 (Suppl_1) ◽  
Author(s):  
Donald E Casey
Keyword(s):  
Blood Pressure ◽  
Quality Of Care ◽  
High Blood Pressure ◽  
Clinical Performance ◽  
Quality Measures ◽  
Structural Quality ◽  
Fee For Service ◽  
And Control ◽  
Detection Evaluation

Despite a 27% reduction in all-cause mortality from targeting a systolic blood pressure of &lt 120 mm Hg, as compared with &lt 140 mm Hg, existing quality measures from the NCQA for controlling HBP (for hypertensive adults 18-59 years of age whose blood pressure was &lt 140/90 mm Hg) have not changed substantially over the past several years for a variety of insured populations, including commercial, Medicaid, Medicare Fee for Service and Medicare Advantage. Re-examining both the targets and processes of managing HBP are thus warranted to help support the use of the latest evidence in optimizing the quality of care and outcomes for patients with HBP. The recently published 2019 ACC/AHA Clinical Performance and Quality Measures for Adults with High Blood Pressure are designed to promote improvements in diagnosis and control of high blood pressure, including a new emphasis on “structural” quality measures that focus on a comprehensive system of care as outlined in the 2017 2017 ACC/AHA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults. The purpose of this presentation will be to provide a detailed overview of this new measure set as a “Blueprint for Change” necessary to overcome current health system inertia and ensure the achievement of better quality of care for people with High Blood Pressure.

P3415Will less developed countries be capable of giving high-quality universal coverage to cardiovascular disease survivors? Results from a national health survey, Chile ENS 2016–2017

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
P Margozzini ◽  
A Passi ◽  
M Kruk ◽  
G Danaei
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Disease ◽  
Health Care ◽  
Quality Of Care ◽  
National Health ◽  
Health Survey ◽  
Universal Coverage ◽  
National Health Survey ◽  
High Quality

Abstract Background Chilean Health System has fully implemented Universal Health Coverage (UHC) for acute cardiovascular events since 2005. Age-adjusted cardiovascular mortality has decreased, but there is limited information about coverage and quality of chronic health care given to cardiovascular disease (CVD) survivors at the national level. Purpose To assess the prevalence and quality of care in Chilean adult CVD survivors. Methods Chilean National Health Survey 2016–2017 (ENS 2016–2017) is a random stratified multistage sample of non-institutionalized population over 14 years (n=6240). Age, education, gender, rural/urban and geographical area weighted prevalence of CVD survivors (self-reported medical diagnosis of myocardial infarction or cerebrovascular attack) were calculated. High quality of care was defined as meeting six criteria simultaneously: under 70mg% LDL- C level, statin use, aspirin use, blood pressure under 130/80 mmHg, HgA1C<7 or 8 (>74-year-old) and non-smoking. Quality of care was explored using multivariate linear and logistic regression adjusting by age, gender, education and year of diagnosis (before or after UHC). Results Weighted national prevalence of CVD survivors in over 20-year-old population was 6.1%. The sample size for the CVD survivor analyses was n=455. 28.7% of CVS had their first event before the year 2005 (n=141). Overall 27.9% had LDL-C under 70mg%, 37.8% used statins, 41.4% used aspirin, 37.8% had controlled blood pressure, 78.3% were non-smokers and 84.3% had good glycemic control. National “high quality of care” prevalence in CVD survivors was 0.3%, 0.4% and 0.1% for men and women respectively. LDL and Blood pressure control prevalence (meet both criteria simultaneously) was 4,4%. In the adjusted multivariate model age was associated to a higher number of quality criteria achievement. Conclusion The number of CVD survivors in Chile is a huge challenge for the health care system. Universal coverage does not guarantee the quality of chronic life long care. Specific surveillance in high-risk population is needed to assess the system's effectiveness and accountability. Acknowledgement/Funding ENS 2016-2017 was funded by the chilean Ministry of Health (MINSAL)

scholarly journals Evaluation of Quality and Readability of Online Health Information on High Blood Pressure Using DISCERN and Flesch-Kincaid Tools

2020 ◽  
Vol 10 (9) ◽  
pp. 3214
Author(s):  
Muhammad Tahir ◽  
Muhammad Usman ◽  
Fazal Muhammad ◽  
Shams ur Rehman ◽  
Imran Khan ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Health Information ◽  
High Blood Pressure ◽  
Statistical Significance ◽  
Treatment Options ◽  
Online Health Information ◽  
High Quality ◽  
Average Value ◽  
Pertinent Data

High Blood Pressure (BP) is a vital factor in the development of cardiovascular diseases worldwide. For more than a decade now, patients search for quality and easy-to-read Online Health Information (OHI) for symptoms, preventions, therapy and other medical conditions. In this paper, we evaluate the quality and readability of OHI about high BP. In order that the first 20 clicks of three top-rated search engines have been used to collect the pertinent data. Using the exclusion criteria, 25 unique websites are selected for evaluation. The quality of all included links is evaluated through DISCERN checklist, a questionnaire for assessing the quality of written information for a health problem. To enhance the reliability of evaluation, all links are separately assessed by two different groups—a group of Health Professional (HPs) and a group of Lay Subjects (LS). A readability test is performed using Flesch-Kincaid tool. Fleiss’ kappa has been calculated before considering average value of each group. After evaluation, the average DISCERN value of HPs is 49.43 ± 14.0 (fair quality) while for LS, it is 48.7 ± 12.2; the mean Flesch-Reading Ease Score (FRES) is 58.5 ± 11.1, which is fairly difficult to read and the Average Grade Level (AGL) is 8.8 ± 1.9. None of the websites scored more than 73 (90%). In both groups, only 4 (16%) websites achieved DISCERN score over 80%. Mann-Whitney and Cronbach’s alpha have been computed to check the statistical significance of the difference between two groups and internal consistency of DISCERN checklist, respectively. Normality and homoscedasticity tests have been performed to check the distribution of scores of both evaluating groups. In both groups, information category websites achieved high DISCERN score but their readability level is worse. Highest scoring websites have clear aim, succinct source and high quality of information on treatment options. High BP is a pervasive disease, yet most of the websites did not produce precise or high-quality information on treatment options.

Quality of Care in Patients with Type 2 Diabetes in Iran: A 5-year retrospective study

2019 ◽  
Author(s):  
yahya bayazidi ◽  
Majid Davari ◽  
Abbas Kebriaeezadeh ◽  
Bagher Larijani ◽  
Alireza Esteghamati ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Type 2 Diabetes ◽  
Quality Of Care ◽  
Hemoglobin A1c ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Cross Sectional ◽  
Private And Public

Abstract Background The object of this study was to evaluate the quality of care indicators (process- and outcome-related) in patients with type 2 diabetes using patient-level data during the last 5 years in Iran, in private and public diabetes centers in five provinces (Tehran, Isfahan, Yazd, Mazandaran, and Kurdistan).Method Our study was a cross-sectional study carried out on patients with type 2 diabetes at 13 diabetes centers (private and public). Annual tests for hemoglobin A1C, serum lipid (LDL) and screening for nephropathy (urine protein or urine albumin quantitative test) were used to evaluate process-related and hemoglobin A1C, blood pressure and lipids levels were used to assess outcome-related outcomes.Findings Among 1976 patients, 54% were women with an average of 15 years of diabetes duration and approximately 83% of patients were obese or overweight. About 9% of patients had a hemoglobin A1C test every three months. The values obtained were favorable for controlling lipid profile but less than standard for screening for nephropathy and only about 30% of patients were within the optimal range for simultaneous control of process-related indicators. Findings for outcome- related indicators show that the achievement of blood glucose, blood pressure, and low-density lipoprotein targets were 31, 49 and 70%, respectively and concurrent achievement was 13.8% in the last year.Conclusion The performance of the health system has much room for improvement and diabetes control programs have not been favorable in any of the provinces studied and have not led to optimal control.

ASSESSMENT OF QUALITY OF MANAGEMENT OF VEGETO-VASCULAR DYSTONIA AMONG ADOLESCENTS

2020 ◽  
Vol 93 (1) ◽  
pp. 30-33
Author(s):  
Nargiza Ishankulova ◽  
Laylo Tashinova
Keyword(s):  
Blood Pressure ◽  
General Population ◽  
Arterial Pressure ◽  
High Blood Pressure ◽  
Clinical Symptoms ◽  
Treatment Quality ◽  
Antihypertensive Medications ◽  
Appropriate Treatment ◽  
Low Blood Pressure

The article is devoted to the assessment and improvement of treatment quality of vegeto-vascular dystonia (VVD) among adolescents of central multidisciplinary polyclinic of Samarkand region. With the aim of diagnostic of such pathology from the general population of the polyclinic it has been detected adolescents and medical examination of children at the age from 10 to 14 years of age. The amount of them was 138 people (34,5%). From them boys were 40 (29%) and girls were 98 (71%). During performing of examination of 138 children in 21 (15,2%) it has been determined clinical symptoms of vegeto-vascular dystonia (VVD). These patients due to the indexes of arterial pressure we divided them into 2 groups: patients with high blood pressure and patients with low blood pressure. The appropriate treatment has been carried out according to the determined types of VVD. In the hypertonic type of VVD antihypertensive medications (betta-blockers) have been prescribed. Procedures of physiotherapy (UVR), massage and phytotherapy have been recommended for the patients of the hypotonic type of the disease.

scholarly journals Improving the quality of care for patients with hypertension in Moshupa District, Botswana: Quality improvement cycle

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
Cathy Kande ◽  
Robert Mash
Keyword(s):  
Blood Pressure ◽  
Primary Care ◽  
Quality Improvement ◽  
Quality Of Care ◽  
Blood Pressure Control ◽  
Catchment Area ◽  
Pressure Control ◽  
Prevalence Studies ◽  
Quality Of Primary Care

Background: Although there are no prevalence studies on hypertension in Botswana, this condition is thought to be common and the quality of care to be poor.Aim: The aim of this project was to assess and improve the quality of primary care forhypertension.Setting: Moshupa clinic and catchment area, Botswana.Methods: Quality improvement cycle.Results: Two hundred participants were included in the audit. Sixty-eight per cent were women with a mean age of 55 years. In the baseline audit none of the target standards were met. During the re-audit six months later, six out of nine structural target standards, five out of 11 process target standards and one out of two outcome target standards were achieved. Statistically-significant improvement in performance (p < 0.05) was shown in 10 criteria although the target standard was not always met. In the re-audit, the target of achieving blood pressure control (< 140/90) in 70% of patients was achieved.Conclusion: The quality of care for hypertension was suboptimal in our setting. Simple interventions were designed and implemented to improve the quality of care. These interventions led to significant improvement in structural and process criteria. A corresponding significant improvement in the control of blood pressure was also seen.

Use of Home Blood Pressure Results for Assessing the Quality of Care for Hypertension

JAMA ◽  
2018 ◽  
Vol 320 (17) ◽  
pp. 1753 ◽  
Author(s):  
Kevin O. Hwang ◽  
Eric J. Thomas ◽  
Laura A. Petersen
Keyword(s):  
Blood Pressure ◽  
Quality Of Care ◽  
Home Blood Pressure
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