Disparities in Blood Pressure Control Within a Community-Based Provider Network: An Exploratory Analysis

Background: Despite treatment for hypertension, blood pressure (BP) remains uncontrolled in many individuals. Identification of patterns in BP control may inform strategies to improve treatment and optimize health outcomes. Objective: To examine patterns in BP control among individuals receiving ant...

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Bibliographic Details
Published in:The Annals of pharmacotherapy 2011-12, Vol.45 (12), p.1473-1482
Main Authors: Romanelli, Robert J, Schiro, Timothy A, Jukes, Trevor, Wong, Ken S, Ishisaka, Denis Y
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Antihypertensive Agents - therapeutic use
Arterial hypertension. Arterial hypotension
Biological and medical sciences
Blood and lymphatic vessels
Blood Pressure - drug effects
Cardiology. Vascular system
Community Health Services
Cross-Sectional Studies
Diabetes Mellitus - drug therapy
Diabetes Mellitus - ethnology
Diabetes. Impaired glucose tolerance
Electronic Health Records
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Female
Healthcare Disparities - ethnology
Healthcare Disparities - statistics & numerical data
Humans
Hypertension - drug therapy
Hypertension - ethnology
Male
Medical sciences
Middle Aged
Pharmacology. Drug treatments
Retrospective Studies
Young Adult
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Summary:Background: Despite treatment for hypertension, blood pressure (BP) remains uncontrolled in many individuals. Identification of patterns in BP control may inform strategies to improve treatment and optimize health outcomes. Objective: To examine patterns in BP control among individuals receiving antihypertensive treatment in a diverse, community-based provider network. Methods: In this retrospective exploratory analysis, a total of 51.772 hypertensive subjects were identified in the electronic medical record between January 1, 2007, and June 30, 2010, who were aged 18 years or older, with 2 or more claims for antihypertensive medication, documented race/ethnicity, and 1 or more documented BP readings. Results: On the basis of Joint National Committee VII guidelines, 76.4% of nondiabetic patients had their BP controlled with treatment (
ISSN:1060-0280
1542-6270
DOI:10.1345/aph.1Q523