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Phone calls for improving blood pressure control among hypertensive patients attending private medical practitioners in India: Findings from Mumbai hypertension project

Despite the availability of effective medication, blood pressure control rates are low, particularly in low‐ and middle‐income countries. Adherence to medication and follow‐up visits are important factors in blood pressure control. This study assessed the effectiveness of reminder telephone calls on...

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Autores principales: Kannure, Mandar, Hegde, Asha, Khungar‐Pathni, Anupam, Sharma, Bhawna, Scuteri, Angelo, Neupane, Dinesh, Gandhi, Ravdeep Kaur, Patel, Haresh, Surendran, Sapna, Jondhale, Vaishnavi, Gupta, Suman, Phalake, Ajit, Walkar, Vrushal, George, Roshini, Mcguire, Helen, Jain, Neeraj, Vijayan, Shibu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8678825/
https://www.ncbi.nlm.nih.gov/pubmed/33591624
http://dx.doi.org/10.1111/jch.14221
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author Kannure, Mandar
Hegde, Asha
Khungar‐Pathni, Anupam
Sharma, Bhawna
Scuteri, Angelo
Neupane, Dinesh
Gandhi, Ravdeep Kaur
Patel, Haresh
Surendran, Sapna
Jondhale, Vaishnavi
Gupta, Suman
Phalake, Ajit
Walkar, Vrushal
George, Roshini
Mcguire, Helen
Jain, Neeraj
Vijayan, Shibu
author_facet Kannure, Mandar
Hegde, Asha
Khungar‐Pathni, Anupam
Sharma, Bhawna
Scuteri, Angelo
Neupane, Dinesh
Gandhi, Ravdeep Kaur
Patel, Haresh
Surendran, Sapna
Jondhale, Vaishnavi
Gupta, Suman
Phalake, Ajit
Walkar, Vrushal
George, Roshini
Mcguire, Helen
Jain, Neeraj
Vijayan, Shibu
author_sort Kannure, Mandar
collection PubMed
description Despite the availability of effective medication, blood pressure control rates are low, particularly in low‐ and middle‐income countries. Adherence to medication and follow‐up visits are important factors in blood pressure control. This study assessed the effectiveness of reminder telephone calls on follow‐up visits and blood pressure control among hypertensive patients as part of the Mumbai Hypertension Project. This project was initiated by PATH with the support from Resolve to Save Lives from January 2019 to February 2020. The study included hypertensive patients attending 164 private practices in Mumbai, India; practitioners screened all adults visiting their clinic during the project period. Among 13 184 hypertensive patients registered, the mean age was 53 years (SD = 12.38) and 52% were female. Among the 11 544 patients that provided phone numbers and gave consent for follow‐up calls, 9528 responded to phone calls at least once and 5250 patients followed up at least once. Of the 5250 patients, 82% visited the clinic for follow‐up visit within one month after receiving the phone call. The blood pressure control rate among those who answered phone calls and who did not answer phone calls increased from 23.6% to 48.8% (P <.001) and 21.0% to 44.3% (P <.001), respectively. The blood pressure control rate at follow‐up was significantly associated with phone calls (OR: 1.51, 95% CI: 1.34 ‐ 1.71). The study demonstrates that telephone call intervention and follow‐up visits can improve patient retention in care and, subsequently, blood pressure control among hypertensive patients attending urban private sector clinics in India.
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spelling pubmed-86788252021-12-23 Phone calls for improving blood pressure control among hypertensive patients attending private medical practitioners in India: Findings from Mumbai hypertension project Kannure, Mandar Hegde, Asha Khungar‐Pathni, Anupam Sharma, Bhawna Scuteri, Angelo Neupane, Dinesh Gandhi, Ravdeep Kaur Patel, Haresh Surendran, Sapna Jondhale, Vaishnavi Gupta, Suman Phalake, Ajit Walkar, Vrushal George, Roshini Mcguire, Helen Jain, Neeraj Vijayan, Shibu J Clin Hypertens (Greenwich) Original Papers Despite the availability of effective medication, blood pressure control rates are low, particularly in low‐ and middle‐income countries. Adherence to medication and follow‐up visits are important factors in blood pressure control. This study assessed the effectiveness of reminder telephone calls on follow‐up visits and blood pressure control among hypertensive patients as part of the Mumbai Hypertension Project. This project was initiated by PATH with the support from Resolve to Save Lives from January 2019 to February 2020. The study included hypertensive patients attending 164 private practices in Mumbai, India; practitioners screened all adults visiting their clinic during the project period. Among 13 184 hypertensive patients registered, the mean age was 53 years (SD = 12.38) and 52% were female. Among the 11 544 patients that provided phone numbers and gave consent for follow‐up calls, 9528 responded to phone calls at least once and 5250 patients followed up at least once. Of the 5250 patients, 82% visited the clinic for follow‐up visit within one month after receiving the phone call. The blood pressure control rate among those who answered phone calls and who did not answer phone calls increased from 23.6% to 48.8% (P <.001) and 21.0% to 44.3% (P <.001), respectively. The blood pressure control rate at follow‐up was significantly associated with phone calls (OR: 1.51, 95% CI: 1.34 ‐ 1.71). The study demonstrates that telephone call intervention and follow‐up visits can improve patient retention in care and, subsequently, blood pressure control among hypertensive patients attending urban private sector clinics in India. John Wiley and Sons Inc. 2021-02-16 /pmc/articles/PMC8678825/ /pubmed/33591624 http://dx.doi.org/10.1111/jch.14221 Text en © 2021 The Authors. The Journal of Clinical Hypertension published by Wiley Periodicals LLC https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Papers
Kannure, Mandar
Hegde, Asha
Khungar‐Pathni, Anupam
Sharma, Bhawna
Scuteri, Angelo
Neupane, Dinesh
Gandhi, Ravdeep Kaur
Patel, Haresh
Surendran, Sapna
Jondhale, Vaishnavi
Gupta, Suman
Phalake, Ajit
Walkar, Vrushal
George, Roshini
Mcguire, Helen
Jain, Neeraj
Vijayan, Shibu
Phone calls for improving blood pressure control among hypertensive patients attending private medical practitioners in India: Findings from Mumbai hypertension project
title Phone calls for improving blood pressure control among hypertensive patients attending private medical practitioners in India: Findings from Mumbai hypertension project
title_full Phone calls for improving blood pressure control among hypertensive patients attending private medical practitioners in India: Findings from Mumbai hypertension project
title_fullStr Phone calls for improving blood pressure control among hypertensive patients attending private medical practitioners in India: Findings from Mumbai hypertension project
title_full_unstemmed Phone calls for improving blood pressure control among hypertensive patients attending private medical practitioners in India: Findings from Mumbai hypertension project
title_short Phone calls for improving blood pressure control among hypertensive patients attending private medical practitioners in India: Findings from Mumbai hypertension project
title_sort phone calls for improving blood pressure control among hypertensive patients attending private medical practitioners in india: findings from mumbai hypertension project
topic Original Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8678825/
https://www.ncbi.nlm.nih.gov/pubmed/33591624
http://dx.doi.org/10.1111/jch.14221
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