Improved Outcomes in Hypertension After Physician Tutorials

Inui, Thomas S.; Yourtee, Edward L.; Williamson, John

doi:10.7326/0003-4819-84-6-646

Cited by 352 publications

(81 citation statements)

References 10 publications

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“…Figure 1, and the only period during which the increase in BP control in the usual care group was noted was between years two and five, after the positive aspects of the educational program had been introduced into routine procedures of the AHC, but not the IMC. Additional analyses were carried out examining the change in diastolic BP between baseline and at five years (Table 8) 16 per cent had such hypertension at five years. In contrast, the usual care group had slightly smaller percentages in these categories before intervention (46 per cent) but exhibited little change at five years.…”

Section: Resultsmentioning

confidence: 99%

Five-year blood pressure control and mortality following health education for hypertensive patients.

Morisky¹,

Levine²,

Green³

et al. 1983

Am J Public Health

307

150

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Three health education interventions for urban poor hypertensive patients were introduced sequentially in a randomized factorial design: 1) an exit interview to increase understanding of and compliance with the prescribed regimen; 2) a home visit to encourage a family member to provide support for the patient's regimen; and 3) invitations to small group sessions to increase the patient's confidence and ability to manage his/her problem. Previous evaluation of the initial two-year experience demonstrated a positive effect of the educational program on compliance with the medical treatment and blood pressure control. Data accumulated over an additional three years, including mortality analysis, are now presented. The study group consisted of the same cohort of 400

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Section: Resultsmentioning

confidence: 99%

Five-year blood pressure control and mortality following health education for hypertensive patients.

Morisky¹,

Levine²,

Green³

et al. 1983

Am J Public Health

307

150

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“…It is important to understand whether cancer survivors obtain prescriptions for their hypertension from oncologists or from primary care physicians, and how much they are informed of their BP status or encouraged to be fully adherent to medication by their physician. 39 Further study is warranted to investigate how patient-physician interaction factors affect the hypertension management and perception of cancer survivors.…”

Section: Discussionmentioning

confidence: 99%

Comparison of hypertension management between cancer survivors and the general public

et al. 2012

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Proper management of hypertension is important for better survival and quality of life of cancer survivors who have hypertension. We aimed to compare hypertension management between cancer survivors and the general population. A nationwide, multicenter, cross-sectional survey was administered to adult cancer patients, currently receiving treatment or follow-up, who had been diagnosed with hypertension. Comparison group was selected from among participants in the health behavior survey of the third Korean National Health and Nutrition Examination Survey. Self-reported hypertension management was surveyed, including antihypertensive medication adherence, frequency of blood pressure (BP) monitoring and perceived BP control. Multivariate logistic regression analysis was used to evaluate the relationship between cancer survivorship and each outcome measure. Compared with the general population, cancer survivors were more likely to report full adherence (92.7% vs. 73.0%; adjusted odds ratio (aOR) ¼ 3.45; 95% confidence interval (CI), 2.08-5.73), more frequent BP measurement (X24 per year: 50.1% vs. 24.7%; aOR ¼ 2.51; 95% CI, 1.83-3.46), and very good perceived BP control (60.8% vs. 26.2%; aOR ¼ 4.34; 95% CI, 3.13-6.02). Cancer survivors appear to be better with antihypertensive medication adherence and BP monitoring than those without cancer, and as a result, they appear to be under better BP control. However, several methodological limitations of our study prompt further research on this issue.

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“…In one experiment with physicians who were treating patients with essential hypertension at a general medicine clinic, a tutorial program involving the physician was used to try to increase patient cooperation (29). Participating physicians met with the researcher for 1 to 2 hours.…”

Section: Voluntary Noncooperationmentioning

confidence: 99%

Improving patient cooperation with arthritis treatment regimens

Jette

1982

Arthritis & Rheumatism

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This review of the literature on patient cooperation with arthritis treatment recommendations is categorized into 2 sections-involuntary and voluntary lack of cooperation. Extrapolating primarily from investigations of patients with other chronic diseases, 5 stategies for reducing involuntary patient noncooperation and 4 recommendations for improving voluntary patient cooperation are discussed. Although much remains to be learned about factors that influence patient cooperation with arthritis treatment recommendations, the application of existing knowledge can improve current levels. Determined efforts by health professionals are necessary if the excessive waste resulting from patient noncooperation is to be reduced. Shortcomings of past research and fruitful avenues for future empirical work in this important area are discussed.The quality of health care depends in the final analysis on the interaction of the patient and provider, and there is abundant evidence that in current practice this interaction all too often is disappointing to both parties. Systematic surveys confirm widespread dissatisfaction among patients with health professionals

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Improved Outcomes in Hypertension After Physician Tutorials

Cited by 352 publications

References 10 publications

Five-year blood pressure control and mortality following health education for hypertensive patients.

Five-year blood pressure control and mortality following health education for hypertensive patients.

Comparison of hypertension management between cancer survivors and the general public

Improving patient cooperation with arthritis treatment regimens

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