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.

scholarly journals Blood Pressure Control and Other Quality of Care Metrics for Patients with Obesity and Diabetes: A Population-Based Cohort Study

2018 ◽  
Vol 25 (4) ◽  
pp. 391-399
Author(s):  
Jennifer T. Fink ◽  
Elizabeth M. Magnan ◽  
Heather M. Johnson ◽  
Lauren M. Bednarz ◽  
Glenn O. Allen ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Cohort Study ◽  
Quality Of Care ◽  
Blood Pressure Control ◽  
Pressure Control ◽  
Population Based ◽  
Obesity And Diabetes

Comparison of Blood Pressure Control in Hypertensive Patients from Primary Care Units of University Hospital and Community in Southern Thailand

2020 ◽  
Vol 103 (5) ◽  
pp. 512-518
Keyword(s):  
Blood Pressure ◽  
Primary Care ◽  
Quality Of Care ◽  
Pressure Control ◽  
University Hospital ◽  
Odds Ratios ◽  
Primary Care Unit ◽  
Number Of Patients ◽  
Southern Thailand

Background: Hypertension (HT) is the most common condition seen in primary care. The proportion of patients with wellcontrolled HT reflects the quality of care in a given setting. Objective: To compare the proportion of participants with controlled blood pressure (BP) in four primary care units (PCUs) in Hat Yai, Songkhla, Thailand. Materials and Methods: Data concerning demography and antihypertensive drug usage were collected from the medical records of 1,690 patients in four PCUs (Songklanagarind Hospital, Municipal School 4, Banpru Municipality, and Kho Hong Municipality) between January 2019 and May 2019. The factors associated with uncontrolled HT were assessed using multiple logistic modeling and reported in terms of odds ratios and corresponding 95% confidence intervals (CI). Results: The proportion of patients with controlled HT in the four PCUs and their corresponding 95% CI were 92.1% (90.8 to 93.6), 96.2% (90.3 to 98.7), 88.2% (84.3 to 90.1), and 74.5% (66.8 to 81.2). Of the total number of patients with controlled HT, 64.4% were female. The odds ratios and the 95% CI of the significantly associated factors with uncontrolled HT were PCU of site 3 and 4 (1.7, 1.1 to 2.6 and 3.0, 1.8 to 5.1), age of 65 years or older (0.7, 0.5 to 0.9), and dyslipidemia (0.7, 0.5 to 1.0). Conclusion: There were differences in quality of care among the PCUs, and they are associated with patient age and comorbidities like dyslipidemia. Keywords: Hypertension, Essential hypertension, Hypertensive treatment, Blood pressure, Primary care unit

scholarly journals Assessing Quality Improvement Capacity in Primary Care Practices

2019 ◽  
Author(s):  
Michael Parchman ◽  
Melissa L. Anderson ◽  
Katie F Coleman ◽  
LeAnn Michaels ◽  
Linnaea Schuttner ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Primary Care ◽  
Quality Improvement ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Blood Pressure Control ◽  
Prior Experience ◽  
Pressure Control ◽  
Practice Level

Abstract Background Healthy Hearts Northwest (H2N) is a study of external support strategies to build quality improvement (QI) capacity in primary care with a focus on cardiovascular risk factors: appropriate aspirin use, blood pressure control, and tobacco screening/cessation. Methods To guide practice facilitator support, experts in practice transformation identified seven domains of QI capacity and mapped items from a previously validated medical home assessment tool to them. A practice facilitator (PF) met with clinicians and staff in each practice to discuss each item on the Quality Improvement Capacity Assessment (QICA) resulting in a practice-level response to each item. We examined the association between the QICA total and sub-scale scores, practice characteristics, a measure of prior experience with managing practice change, and performance on clinical quality measures (CQMs) for the three cardiovascular risk factors. Field notes kept by the PFs from practices with high and low QICA scores were compared. Results The QICA score was associated with prior experience managing change and two of the three CQMs: aspirin use (r=0.16, p=0.049) and blood pressure control (r=0.18, p=0.013). Rural practices and those with 2-5 clinicians had lower QICA scores. PFs notes provide examples of high scoring practices devoting time and attention to quality improvement whereas low scoring practices did not. Conclusions The QICA is useful for both assessing QI capacity within a practice and for guiding PFs and practices in efforts to build this capacity. Further work is needed to understand how PFs and practices tailored their work in response to this practice-level assessment and how practices used it to improve their QI capacity.

Impact of Hypertension Guideline Implementation on Blood Pressure Control and Drug Use in Primary Care Clinics

1999 ◽  
Vol 25 (2) ◽  
pp. 68-77 ◽  
Author(s):  
Patrick J. O’Connor ◽  
Elaine S. Quiter ◽  
William A. Rush ◽  
Mark Wiest ◽  
Jeffrey T. Meland ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Primary Care ◽  
Drug Use ◽  
Blood Pressure Control ◽  
Guideline Implementation ◽  
Pressure Control ◽  
Primary Care Clinics ◽  
Hypertension Guideline
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