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Overcoming Barriers in the Management of Hypertension : The Experience of the Cardiovascular Health Program in Chilean Primary Health Care Centers
Joint Authors
Henríquez, Oscar
Ahlers, Ivonne
Bravo, Miguel
Koch, Elard
Romero, Tomas E.
Sandoval, Daniela
Gatica, Sebastián
Source
International Journal of Hypertension
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-06-04
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Objective.
To assess the blood pressure control and cardiovascular risk factors (CVRFs) in a population of hypertensive patients with access to care under a government-financed program, the Cardiovascular Health Program (CHP).
Design.
A cross-sectional and multicenter study.
Setting.
52 primary care centers, metropolitan area of Santiago, Chile.
Participants.
1,194 patients were selected by a systematic random sampling from a universe of 316,654 hypertensive patients.
Key Measurements.
Demographic information, blood pressure (BP) measurements, and CVRF were extracted from medical records of patients followed for a 12-month period.
Results.
59.7% of patients reached target BP <140/90 mmHg.
More women were captured in the sampling (2.1 : 1), achieving better BP control than men.
Diabetic patients (26.4%) had worse BP control than nondiabetics.
Antihypertensive medications were used in 91.5%, with multidrug therapy more frequent in patients with higher BP and more difficult control.
Conclusions.
The success in improving the BP control to values <140/90 mmHg from 45.3% to 59.7% underscores the contribution of this program in the Chilean primary care cardiovascular preventive strategies.
However, fewer hypertensive men than women were captured by this program, and it is of concern the underperforming of BP control observed in diabetics.
American Psychological Association (APA)
Sandoval, Daniela& Bravo, Miguel& Koch, Elard& Gatica, Sebastián& Ahlers, Ivonne& Henríquez, Oscar…[et al.]. 2012. Overcoming Barriers in the Management of Hypertension : The Experience of the Cardiovascular Health Program in Chilean Primary Health Care Centers. International Journal of Hypertension،Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-469521
Modern Language Association (MLA)
Sandoval, Daniela…[et al.]. Overcoming Barriers in the Management of Hypertension : The Experience of the Cardiovascular Health Program in Chilean Primary Health Care Centers. International Journal of Hypertension No. 2012 (2012), pp.1-8.
https://search.emarefa.net/detail/BIM-469521
American Medical Association (AMA)
Sandoval, Daniela& Bravo, Miguel& Koch, Elard& Gatica, Sebastián& Ahlers, Ivonne& Henríquez, Oscar…[et al.]. Overcoming Barriers in the Management of Hypertension : The Experience of the Cardiovascular Health Program in Chilean Primary Health Care Centers. International Journal of Hypertension. 2012. Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-469521
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-469521