Key result
Care in a family medicine resident clinic resulted in documentation and a treatment plan for 44% of patients with elevated blood pressure, comparable to the 45% rate among national providers.
Why the study?
What are the rates of documentation and treatment of elevated blood pressure in a family medicine resident clinic compared to national providers?
Cross-Sectional (n=1,011)
No
What are the rates of documentation and treatment of elevated blood pressure in a family medicine resident clinic compared to national providers?
Absolute Event Rate: 44% vs 45%
Fewer than half of patients with elevated blood pressure in a resident clinic received both documentation and a treatment plan, highlighting missed opportunities in hypertension management.
Suboptimal BP documentation persists in resident clinics; confirms national benchmarks and leaves open the impact of targeted interventions.
BACKGROUND: In the USA, uncontrolled hypertension contributes to 1000 deaths a day. However, little is known about the quality of hypertension management in family medicine resident clinics. OBJECTIVES: To examine rates of documentation and treatment of elevated blood pressure, and to identify missed opportunities to address hypertension. Study design A cross-sectional chart review of 1011 adult patient visits between 2 January and 4 February 2013 was performed in a resident-run federally qualified health centre. For patients with elevated blood pressure at time of visit, we noted whether or not the residents had documented a diagnosis or discussion of hypertension and the presence or absence of a treatment plan. We compared these rates with those from a national sample of primary care physicians. RESULTS: 262/1011 (26%) of adult patients had elevated blood pressure at time of visit. Of those, 115/262 (44%) had documentation and a plan for treatment, 79/262 (30%) had documentation but no plan, and 68/262 (26%) had neither documentation nor plan. Nationally, 45% of patients are diagnosed and treated compared with 44% of study visits with documentation and treatment. CONCLUSIONS: Fewer than half of visits of patients with elevated blood pressure resulted in both documentation and a treatment plan. Nevertheless, these rates are comparable to national providers. Elevated blood pressure was more likely to be missed during acute visits and in patients with less elevated blood pressure.
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So et al. (2015) conducted a cross-sectional in Hypertension (n=1,011). Care in a family medicine resident clinic vs. National sample of primary care physicians was evaluated on Documentation and a plan for treatment of elevated blood pressure. Care in a family medicine resident clinic resulted in documentation and a treatment plan for 44% of patients with elevated blood pressure, comparable to the 45% rate among national providers.
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