Document Detail


Visit frequency for essential hypertension: observed associations.
MedLine Citation:
PMID:  2723595     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Data from the British Department of Health and Social Services Hypertension Care Computing Project were analyzed to study determinants of visit frequency in hypertension management. The 457 patients from five general practices made 7974 visits between 1971 and 1985 resulting in 7391 intervals on which evaluation could be based. The mean interval between visits was 113 days (SD = 110 days) with a median interval of 91 days. Visit interval was influenced by level of blood pressure and length of time in follow-up. For diastolic pressures less than 104 mmHg the mean visit interval was 4 months, contrasting with 2 months for diastolic pressures greater than 130 mmHg. Visit intervals became longer with increasing length of time in follow-up, independent of level of blood pressure. Shorter intervals reflected initial management and getting the blood pressure reduced; longer intervals may reflect patients' failure to keep scheduled appointments. Between practices, mean visit intervals ranged from 99 to 193 days (median 72 to 164 days). These differences were reduced after adjustment for length of time the patients had been in follow-up. Patient age, sex, body mass index, and the presence of angina pectoris were not associated with visit interval. The analyses illustrate how process and outcome may be linked in ambulatory care practice as a means of determining rational guidelines for optimal utilization of health services.
Authors:
M J Lichtenstein; M A Steele; T P Hoehn; C J Bulpitt; E C Coles
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of family practice     Volume:  28     ISSN:  0094-3509     ISO Abbreviation:  J Fam Pract     Publication Date:  1989 Jun 
Date Detail:
Created Date:  1989-07-11     Completed Date:  1989-07-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7502590     Medline TA:  J Fam Pract     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  667-72     Citation Subset:  AIM; IM    
Affiliation:
Division of General Internal Medicine, Vanderbilt Clinic, Vanderbilt University School of Medicine, Nashville, TN 37232.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Antihypertensive Agents / therapeutic use
Blood Pressure
Diastole
Family Practice
Female
Follow-Up Studies
Great Britain
Humans
Hypertension / drug therapy*,  physiopathology
Male
Middle Aged
Office Visits / utilization*
Sex Factors
Time Factors
Chemical
Reg. No./Substance:
0/Antihypertensive Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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