Key result
The Hypertension Management Program, a physician-focused educational intervention, improved the rate of blood pressure control according to JNC VI guidelines from 37.2% at baseline to 43% post-intervention.
Why the study?
Does the Hypertension Management Program improve blood pressure control in individuals enrolled in health care plans?
Observational (n=196,675)
Yes
Does the Hypertension Management Program improve blood pressure control in individuals enrolled in health care plans?
Absolute Event Rate: 43% vs 37.2%
A large-scale quality improvement program targeting primary care physicians may offer opportunities to improve blood pressure control in population-based health care settings.
May support physician education to improve BP control in health plans; leaves open causal effects pending randomized trials.
To date, relatively few programs have been evaluated that were designed to affect the clinical practice patterns of primary care physicians who treat patients with hypertension. In particular, studies that have evaluated blood pressure control as a clinical outcome before and after an intervention are lacking. The Hypertension Management Program, developed by Applied Health Outcomes, is a quality improvement program designed to improve the medical management of hypertension in population-based health care settings. This program is in the process of continuing to collect baseline data from health maintenance organizations, conducting physician-focused interventions designed for improving clinical care, and collecting postintervention data between 6 and 12 months after the intervention is completed to determine its effect. The authors present the rationale for conducting large-scale hypertension management programs that measure outcomes, as well as preliminary baseline and postintervention data from the Hypertension Management Program, based on a current database of more than 1.9 million individuals enrolled in eight health care plans.
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Maue et al. (2003) conducted an observational in Hypertension (n=196,675). Hypertension Management Program (physician-focused educational interventions) vs. Baseline (pre-intervention) was evaluated on Blood pressure control according to JNC VI guidelines (<140/90 mm Hg for nondiabetics and <130/85 mm Hg for diabetics). The Hypertension Management Program, a physician-focused educational intervention, improved the rate of blood pressure control according to JNC VI guidelines from 37.2% at baseline to 43% post-intervention.
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