Hypertension management in Filipino adults achieved blood pressure control (<140/<90 mmHg) in 20.5% of patients overall, with the lowest control rate of 11.6% observed in the remote primary care site.
Retrospective Cohort (n=2,452)
Yes
Does geographic location (urban, rural, remote) affect the quality of care and blood pressure control in Filipino patients with hypertension in primary care settings?
Blood pressure control among hypertensive patients in Philippine primary care settings is poor (20.5%), highlighting significant gaps in quality of care and the need for improved health systems and documentation.
Health disparities in the quality of care in hypertension was observed, with poorest blood pressure control observed in the remote site. If not sufficiently addressed, the difference in hypertension control and burden of disease leads to inadvertent aggravation of pre-existing economic disadvantages.
Falcon et al. (Mon,) conducted a retrospective cohort in Filipino adult patients (>18 years) diagnosed with hypertension receiving care in urban, rural, and remote primary care settings in the Philippines from 2019 to 2022 (n=2,452). Standard hypertension management as per JNC8 guidelines including antihypertensive pharmacologic therapy and lifestyle modification advice vs. No specific comparator; observational comparison across urban, rural, and remote sites was evaluated on Proportion of patients attaining blood pressure control defined as BP <140/<90 mmHg at the last consult. Hypertension management in Filipino adults achieved blood pressure control (<140/<90 mmHg) in 20.5% of patients overall, with the lowest control rate of 11.6% observed in the remote primary care site.