Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Blood pressure control in treated hypertensive patients: clinical performance of general practitioners
Autore:
Frijling, BD; Spies, TH; Lobo, CM; Hulscher, MEJL; van Drenth, BB; Braspenning, JCC; Prins, A; van der Wouden, JC; Grol, RPTM;
Indirizzi:
Univ Nijmegen, Ctr Qual Care Res, NL-6500 HB Nijmegen, Netherlands Univ Nijmegen Nijmegen Netherlands NL-6500 HB 0 HB Nijmegen, Netherlands Erasmus Univ, Dept Gen Practice, Rotterdam, Netherlands Erasmus Univ Rotterdam Netherlands Gen Practice, Rotterdam, Netherlands
Titolo Testata:
BRITISH JOURNAL OF GENERAL PRACTICE
fascicolo: 462, volume: 51, anno: 2001,
pagine: 9 - 14
SICI:
0960-1643(200101)51:462<9:BPCITH>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
PRIMARY-CARE; MANAGEMENT; GUIDELINES; SOCIETY; TRIALS; HALVES; AUDIT; RULE;
Keywords:
blood pressure; hypertension; guidelines; task performance and analysis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Frijling, BD Univ Nijmegen, Ctr Qual Care Res, POB 9101, NL-6500 HB Nijmegen, Netherlands Univ Nijmegen POB 9101 Nijmegen Netherlands NL-6500 HB lands
Citazione:
B.D. Frijling et al., "Blood pressure control in treated hypertensive patients: clinical performance of general practitioners", BR J GEN PR, 51(462), 2001, pp. 9-14

Abstract

Background: The blood pressure of many neared hypertensive patients remains above recommended target levels. This discrepancy may be related to general practitioners' (GPs') actions. Aim: To assess clinical performance of GPs in blood pressure control in treated hypertensive patients and to explore the influence of patient and GP characteristics on clinical performance. Design of study: Cross-sectional study conducted on 195 GPs with invitations to participate made via bulletins and by letter. Setting: One hundred and thirty-two practices in the southern half of The Netherlands from November 1996 to April 1997. Method Performance criteria were selected from Dutch national hypertensionguidelines for general practice. GPs completed self-report forms immediately after follow-up visits of hypertensive patients treated with antihypertensive medication. Results: The GPs recorded 3526 follow-up visits. In 63% of these consultations the diastolic blood pressure (DBP) was 90 mmHg or above. The median performance rates of the GPs were less than 51% for most of the recommended actions, even at a DBP of greater than or equal to 100 mmHg. Performance of non-pharmacological actions increased gradually with increasing DBP; prescribing an increase in antihypertensive medication and making a follow-up appointment scheduled within six weeks rose steeply at a DBP of greater than or equal to 100 mmHg. Patient and GP characteristics contributed little to clinical performance. Action performance rates varied considerably between GPs. Conclusion: GPs seem to target their actions at a DBP of below 100 mmHg, whereas guidelines recommend targeting at a DBP of below 90 mmHg.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/03/20 alle ore 01:04:28