Achieving blood pressure control in patients with diabetes: a case study in primary care.
This article presents a case study from a primary care practice that achieves blood pressure control (ie, less than 130/85 mm Hg) in a majority of patients with diabetes. Fifty-three percent of the last blood pressures measured in 2001 were controlled and 38% of patients achieved blood pressure control without medications or with a single agent. Blood pressure control is achieved in a majority of patients in this practice secondary to their focus on guidelines, involvement of nursing staff in case management, and medication use consistent with recommendations.
Wessell
Andrea M
AM
Department of Pharmacy Practice, Medical University of South Carolina, Charleston, SC, USA. wessell@musc.edu
Ornstein
Steven M
SM
Nietert
Paul J
PJ
Wilson
James P
JP
Brooks
Angela
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000555:Ambulatory Care Information Systems; D000959:Antihypertensive Agents / Q000145:classification / Q000627:therapeutic use*; D001795:Blood Pressure Determination; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000188:drug therapy; D017723:Drug Utilization Review; D005260:Female; D005431:Florida; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000188:drug therapy* / Q000517:prevention & control*; D007388:Internal Medicine / Q000458:organization & administration*; D008297:Male; D016347:Medical Records Systems, Computerized; D008875:Middle Aged; D019982:Organizational Case Studies; D011320:Primary Health Care / Q000458:organization & administration*; D017010:Reminder Systems
D000959:Antihypertensive Agents