Blood Pressure Control in Hypertensive Patients in Federally Qualified Health Centers: Impact of Shared Decision Making in the Office-GAP Program.

ABSTRACT: Background: Hypertension (HTN) in people with diabetes doubles the risk of cardiovascular disease. Prior patient activation studies largely show improved communication but little impact on behavior or health outcomes. We sought to 1) assess the impact of Office-Based Guidelines Applied to Practice (Office-GAP) Program on blood pressure (BP) control; 2) determine the rate and predictors of BP control in patients with HTN and/or diabetes mellitus (DM) in federally qualified health centers. Methods: Sample: Patients with coronary heart disease (CHD) and/or DM with history of HTN; analyzed patients with DM and HTN compared to HTN without DM.

Intervention

Office-GAP included physician training, patient activation, and an Office-GAP decision checklist. Two-site intervention/

SUBMITTER: Olomu A 

PROVIDER: S-EPMC6125053 | biostudies-literature | 2016 Jul-Dec

REPOSITORIES: biostudies-literature