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Continuity of Care in HypertensionAn Important Correlate of Blood Pressure Control Among Aware Hypertensives
William M. McClellan, MD;
W. Dallas Hall, MD;
Donna Brogan, PhD;
Carolyn Miles, MPH;
Joseph A. Wilber, MD
Arch Intern Med. 1988;148(3):525-528.
Abstract
• Hypertensive patients frequently discontinue follow-up care. In a population-based survey of 4688 adults, we examined the impact of nonattendance on blood pressure control in aware hypertensives. Nonattendance was defined as a failure to visit a physician for hypertensive care within a six-month interval and was reported by 29% of 907 aware hypertensives. Nonattenders had a higher prevalence of diastolic blood pressure above 90 mm Hg (67% vs 30% for attenders). The nonattender profile was male, young, active in the work force, and without coexisting chronic diseases. Poor blood pressure control among nonattenders was associated with a lower treatment rate. Uncontrolled diastolic hypertension and less adherence to medications in nonattenders warrants concern by clinicians.
(Arch Intern Med 1988;148:525-528)
Author Affiliations
From the Division of Hypertension, Department of Medicine (Drs McClellan, Hall, and Wilber), and the Department of Statistics and Biometry (Dr Brogan and Ms Miles), Emory University School of Medicine, Atlanta.
Footnotes
Accepted for publication Nov 16, 1987.
Reprint requests to Clark-Holder Clinic, 303 Smith St, LaGrange, GA 30240 (Dr McClellan).
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