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Publication Type
Journal Article
Author, Analytic
Harris, Michelle A; Ferguson, Trevor S; Figueroa, J.Peter
Author Affiliation, Ana.
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Article Title
Improved hypertension control among primary care patients in Jamaica between 1995 and 2013
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Journal Title
Global J Med Pub Health
Translated Title
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Reprint Status
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Date of Publication
2016
Volume ID
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Issue ID
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Page(s)
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Language
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Location/URL
http:; www.gjmedph.com/uploads/O1-Vo5No5.pdf
ISSN
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Notes
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Abstract
Objective To compare hypertension control among patients who attended selected public primary care clinics in the South East Region of Jamaica in 2013 and 1995. Methods Patient records from six randomly selected health centers in the South East Health Region of Jamaica were audited in 2013 and the data were compared with published findings from a similar study done in 1995. Blood pressure control was defined as BP of less than 140/90 mmHg or less than 130/80 mmHg among those who were also diagnosed with diabetes. The last blood pressure reading recorded in the patient chart was used to assess for hypertension control. The differences in proportions were tested for significance using the chi-square test and the student t test was used for differences in means. Results Five hundred patient records were audited in 1995 and 469 in 2013. The median age was 60 and 65 years and males comprised 18% and 35% (p < 0.001) of the patients in 1995 and 2013 respectively. More patients had their routine screening tests completed in 2013. Control was achieved among 26.8% (95% CI: 22.7- 30.9%) of patients in 2013, compared with 18.2% (95% CI: 14.6-21.8%) in 1995, p = 0.002. Angiotensin converting enzyme inhibitors (61%) were the medications most commonly used by the patients in 2013 while thiazide diuretics (72%) were more frequently used in 1995. Conclusions Hypertension control among primary care patients has improved. However, 3 of every 4 patients with hypertension who are prescribed medication are still not controlled. There needs to be closer monitoring of blood pressure control, medication adherence and appropriate treatment intensification as needed, at the primary care clinics.....
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