Document Detail

Controlling hypertension requires a new primary care model.
MedLine Citation:
PMID:  20873951     Owner:  NLM     Status:  MEDLINE    
About 32 million Americans have uncontrolled hypertension, and the impending shortage of primary care physicians could result in worsening blood pressure control. The "Treat to Target" approach to hypertension in primary care has the potential to increase hypertension control while off-loading a portion of hypertension management from physicians to other team members. "Treat to Target" involves 3 components: home self-monitoring of blood pressure, regular health coaching for patients with elevated blood pressure, and home titration of blood pressure medications based on standing orders from the patient's physician. To implement "Treat to Target" in primary care, public and private health insurance plans and primary care practices should receive payment for health coaching sessions that train patients to take their blood pressure, teach patients about hypertension and its medications, and assist patients by telephone in home titration. Reimbursing primary care practices that implement effective blood pressure programs and save physician time is a logical step to reducing long-term costs from stroke, heart attack, and kidney failure.
David Margolius; Thomas Bodenheimer
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of managed care     Volume:  16     ISSN:  1936-2692     ISO Abbreviation:  Am J Manag Care     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-29     Completed Date:  2011-01-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9613960     Medline TA:  Am J Manag Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  648-50     Citation Subset:  H    
Warren Alpert Medical School, Brown University, Providence, RI, USA.
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MeSH Terms
Hypertension / drug therapy*
Models, Theoretical*
Primary Health Care / organization & administration*

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