Document Detail

Physician characteristics as predictors of blood pressure control in patients enrolled in the hypertension improvement project (HIP).
MedLine Citation:
PMID:  21272198     Owner:  NLM     Status:  MEDLINE    
The authors sought to examine the relationship between physician characteristics and patient blood pressure (BP) in participants enrolled in the Hypertension Improvement Project (HIP). In this cross-sectional study using baseline data of HIP participants, the authors used multiple linear regression to examine how patient BP was related to physician characteristics, including experience, practice patterns, and clinic load. Patients had significantly lower systolic BP (SBP) (-0.2 mm Hg for every 1% increase, P=.008) and diastolic BP (DBP) (-0.1 mm Hg for every 1% increase, P=.0007) when seen by physicians with a higher percentage of patients with hypertension. Patients had significantly higher SBP (0.8 mm Hg for every 1% increase, P=.002) when seen by physicians with a higher number of total clinic visits per day. Patients had significantly lower DBP (-4.4 mm Hg decrease, P=.0002) when seen by physicians with inpatient duties. Physician's volume of patients with hypertension was related to better BP control. However, two indicators of a busy practice had conflicting relationships with BP control. Given the increasing time demands on physicians, future research should examine how physicians with a busy practice are able to successfully address BP in their patients.
Leonor Corsino; William S Yancy; Gregory P Samsa; Rowena J Dolor; Kathryn I Pollak; Pao-Hwa Lin; Laura P Svetkey
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural     Date:  2010-11-04
Journal Detail:
Title:  Journal of clinical hypertension (Greenwich, Conn.)     Volume:  13     ISSN:  1751-7176     ISO Abbreviation:  J Clin Hypertens (Greenwich)     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-28     Completed Date:  2011-05-19     Revised Date:  2013-06-30    
Medline Journal Info:
Nlm Unique ID:  100888554     Medline TA:  J Clin Hypertens (Greenwich)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  106-11     Citation Subset:  IM    
Copyright Information:
© 2010 Wiley Periodicals, Inc.
Department of Medicine, Duke University Medical Center, Durham, NC 27710, USA.
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MeSH Terms
Aged, 80 and over
Blood Pressure / physiology
Clinical Competence*
Continental Population Groups / ethnology
Cross-Sectional Studies
Education, Medical*
Hypertension / ethnology,  physiopathology,  therapy*
Middle Aged
Multivariate Analysis
Physician's Practice Patterns*
Retrospective Studies
Treatment Outcome
Grant Support
R01 HL075373/HL/NHLBI NIH HHS; R01 HL075373-01/HL/NHLBI NIH HHS; R01HL75373/HL/NHLBI NIH HHS; T32 DK007012/DK/NIDDK NIH HHS; T32 DK007012-30S1/DK/NIDDK NIH HHS; T32 DK007012-30S1/DK/NIDDK NIH HHS; T32 DK007012-31S1/DK/NIDDK NIH HHS

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