Lovell HG, Thomas D, Waugh N; International Society of Technology Assessment in Health Care. Meeting.
Annu Meet Int Soc Technol Assess Health Care Int Soc Technol Assess Health Care Meet. 1997; 13: 156.
Scottish Health Purchasing Information Centre, Aberdeen, Scotland.
OBJECTIVE: To obtain estimates of the proportions of hypertensives known to their general practitioner (GP), known hypertensives who are on drug therapy, and treated hypertensives whose blood pressure (BP) is well controlled, prior to costing hypertension treatment options. METHODS: Patients aged 35-85 years were studied via the General Practice Administration System for Scotland Continuous Morbidity Recording (CMR) project, augmented by a twice yearly Electronic Questionnaire (EQ). Hypertension was defined by recorded diagnosis, prescription of antihypertensive drugs in the absence of an alternative diagnosis, or BP >/=160/90 mmHg. Well controlled BP was defined as <160/90 mm/Hg. RESULTS: 16% of registered patients were hypertensive. Low and high estimates of the proportion of hypertensive patients known to their GP are 57% and 67%. Little more than half of known hypertensives have well controlled BP. Practices providing BP data for over 75% of patients know more of them (66% to 70%) than do others (47% to 63%), prescribe antihypertensive drugs for a lower proportion of their hypertensive patients (52%) than do GPs with <3/4 patient coverage (58%), but have a higher proportion with well controlled BP (41% compared with 32%). CONCLUSIONS: The estimates show no cause for complacency but relate to rising criteria. Previous estimates defined hypertension as diastolic BP >/= 110 mmHg. Now 99% with such severe hypertension are known to their GP and 96% of those have well controlled BP in Scotland.
Publication Types:
Keywords:
- Antihypertensive Agents
- Blood Pressure
- Blood Pressure Determination
- Drug Therapy, Combination
- Family Practice
- Humans
- Hypertension
- Knowledge
- Questionnaires
- Scotland
- diagnosis
- drug therapy
- prevention & control
- therapy
- hsrmtgs
Other ID:
UI: 102233362
From Meeting Abstracts