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Patient and Practice Perspectives on Strategies for Controlling Blood Pressure, North Carolina, 2010–2012
INTRODUCTION: Patient and practice perspectives can inform development of team-based approaches to improving blood pressure control in primary care. We used a community-based participatory research approach to assess patient and practice perceptions regarding the value of team-based strategies for c...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Centers for Disease Control and Prevention
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4008946/ https://www.ncbi.nlm.nih.gov/pubmed/24762533 http://dx.doi.org/10.5888/pcd11.130157 |
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author | Donahue, Katrina E. Vu, Maihan B. Halladay, Jacqueline R. Miller, Cassandra Garcia, Beverly A. Cummings, Doyle M. Cene, Crystal W. Hinderliter, Alan Little, Edwin Rachide, Marjorie DeWalt, Darren |
author_facet | Donahue, Katrina E. Vu, Maihan B. Halladay, Jacqueline R. Miller, Cassandra Garcia, Beverly A. Cummings, Doyle M. Cene, Crystal W. Hinderliter, Alan Little, Edwin Rachide, Marjorie DeWalt, Darren |
author_sort | Donahue, Katrina E. |
collection | PubMed |
description | INTRODUCTION: Patient and practice perspectives can inform development of team-based approaches to improving blood pressure control in primary care. We used a community-based participatory research approach to assess patient and practice perceptions regarding the value of team-based strategies for controlling blood pressure in a rural North Carolina population from 2010 through 2012. METHODS: In-depth interviews were conducted with 41 adults with hypertension, purposely sampled to include diversity of sex, race, literacy, and blood pressure control, and with key office staff at 5 rural primary care practices in the southeastern US “stroke belt.” Interviews explored barriers to controlling blood pressure, the practice’s role in controlling blood pressure, and opinions on the use of team care delivery. RESULTS: Patients reported that provider strategies to optimize blood pressure control should include regular visits, medication adjustment, side-effect discussion, and behavioral counseling. When discussing team-based approaches to hypertension care, patients valued verbal encouragement, calls from the doctor’s office, and the opportunity to ask questions. However, they voiced concerns about the effect of having too many people involved in their care. Practice staff focused on multiple, broad methods to control blood pressure including counseling, regular office visits, media to improve awareness, and support groups. An explicit focus of delivering care as teams was a newer concept. CONCLUSION: When developing a team approach to hypertension treatment, patients value high-quality communication and not losing their primary relationship with their provider. Practice staff members were open to a team-based approach but had limited knowledge of what such an approach would entail. |
format | Online Article Text |
id | pubmed-4008946 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Centers for Disease Control and Prevention |
record_format | MEDLINE/PubMed |
spelling | pubmed-40089462014-05-09 Patient and Practice Perspectives on Strategies for Controlling Blood Pressure, North Carolina, 2010–2012 Donahue, Katrina E. Vu, Maihan B. Halladay, Jacqueline R. Miller, Cassandra Garcia, Beverly A. Cummings, Doyle M. Cene, Crystal W. Hinderliter, Alan Little, Edwin Rachide, Marjorie DeWalt, Darren Prev Chronic Dis Original Research INTRODUCTION: Patient and practice perspectives can inform development of team-based approaches to improving blood pressure control in primary care. We used a community-based participatory research approach to assess patient and practice perceptions regarding the value of team-based strategies for controlling blood pressure in a rural North Carolina population from 2010 through 2012. METHODS: In-depth interviews were conducted with 41 adults with hypertension, purposely sampled to include diversity of sex, race, literacy, and blood pressure control, and with key office staff at 5 rural primary care practices in the southeastern US “stroke belt.” Interviews explored barriers to controlling blood pressure, the practice’s role in controlling blood pressure, and opinions on the use of team care delivery. RESULTS: Patients reported that provider strategies to optimize blood pressure control should include regular visits, medication adjustment, side-effect discussion, and behavioral counseling. When discussing team-based approaches to hypertension care, patients valued verbal encouragement, calls from the doctor’s office, and the opportunity to ask questions. However, they voiced concerns about the effect of having too many people involved in their care. Practice staff focused on multiple, broad methods to control blood pressure including counseling, regular office visits, media to improve awareness, and support groups. An explicit focus of delivering care as teams was a newer concept. CONCLUSION: When developing a team approach to hypertension treatment, patients value high-quality communication and not losing their primary relationship with their provider. Practice staff members were open to a team-based approach but had limited knowledge of what such an approach would entail. Centers for Disease Control and Prevention 2014-04-24 /pmc/articles/PMC4008946/ /pubmed/24762533 http://dx.doi.org/10.5888/pcd11.130157 Text en https://creativecommons.org/licenses/by/4.0/This is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited. |
spellingShingle | Original Research Donahue, Katrina E. Vu, Maihan B. Halladay, Jacqueline R. Miller, Cassandra Garcia, Beverly A. Cummings, Doyle M. Cene, Crystal W. Hinderliter, Alan Little, Edwin Rachide, Marjorie DeWalt, Darren Patient and Practice Perspectives on Strategies for Controlling Blood Pressure, North Carolina, 2010–2012 |
title | Patient and Practice Perspectives on Strategies for Controlling Blood Pressure, North Carolina, 2010–2012 |
title_full | Patient and Practice Perspectives on Strategies for Controlling Blood Pressure, North Carolina, 2010–2012 |
title_fullStr | Patient and Practice Perspectives on Strategies for Controlling Blood Pressure, North Carolina, 2010–2012 |
title_full_unstemmed | Patient and Practice Perspectives on Strategies for Controlling Blood Pressure, North Carolina, 2010–2012 |
title_short | Patient and Practice Perspectives on Strategies for Controlling Blood Pressure, North Carolina, 2010–2012 |
title_sort | patient and practice perspectives on strategies for controlling blood pressure, north carolina, 2010–2012 |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4008946/ https://www.ncbi.nlm.nih.gov/pubmed/24762533 http://dx.doi.org/10.5888/pcd11.130157 |
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