Improved blood pressure control associated with a large-scale hypertension program.
Improved blood pressure control associated with a large-scale hypertension program.
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DOI：
10.1001/jama.2013.108769
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发表时间：
2013-08-21
影响因子：
120.7
通讯作者：
Go, Alan S.
中科院分区：
文献类型：
--
作者：
Jaffe, Marc G.;Lee, Grace A.;Young, Joseph D.;Sidney, Stephen;Go, Alan S.
大规模人群的高血压控制仍然是一个重大挑战。描述北方加州的一个大规模高血压项目，并将该项目的高血压控制率与全州和全国估计值进行比较。Kaiser Permanente北方加州（KPNC）高血压项目包括多方面的血压控制方法。纳入了2001-2009年在北方加州的综合医疗保健提供系统中确定的高血压患者。对照组包括2006-2009年期间加州的被保险患者，这些患者被纳入加州健康保险计划的医疗保健有效性数据和信息集（HEDIS）商业测量中，参与国家质量保证委员会（NQCA）质量测量报告过程。第二个比较组是2001-2009年参与NQCA HEDIS质量测量报告过程的健康计划报告的全国平均NCQA HEDIS商业高血压控制率。根据NCQA HEDIS定义的高血压控制。2001年建立的KPNC高血压登记处包括349，937名患者，到2009年增加到652，763名。在研究期间，NCQA HEDIS高血压控制的商业测量值从44%增加到80%。相比之下，全国平均NCQA HEDIS商业测量从55.4%小幅增加到64.1%。加州NCQA HEDIS高血压的平均商业发病率与2006-2009年全国报告的高血压发病率相似。(63.4%至69.4%）。在诊断为高血压的成年人中，与州和国家控制率相比，实施大规模高血压计划与高血压控制率显著增加相关。
Hypertension control for large populations remains a major challenge. To describe a large-scale hypertension program in northern California and to compare rates of hypertension control of the program to statewide and national estimates. The Kaiser Permanente Northern California (KPNC) Hypertension program included a multi-faceted approach to blood pressure control. Patients identified with hypertension within an integrated health care delivery system in northern California from 2001–2009 were included. The comparison group included insured patients in California between 2006–2009 who were included in the Healthcare Effectiveness Data and Information Set (HEDIS) commercial measurement by California health insurance plans participating in the National Committee for Quality Assurance (NQCA) quality measure reporting process. A secondary comparison group was the reported national mean NCQA HEDIS commercial rates of hypertension control from 2001–2009 from health plans that participated in the NQCA HEDIS quality measure reporting process. Hypertension control as defined by NCQA HEDIS. The KPNC hypertension registry established in 2001 included 349,937 patients and grew to 652,763 by 2009. The NCQA HEDIS commercial measurement for hypertension control increased from 44% to 80% during the study period. In contrast, the national mean NCQA HEDIS commercial measurement increased modestly from 55.4% to 64.1%. California mean NCQA HEDIS commercial rates of hypertension were similar to those reported nationally from 2006–2009. (63.4% to 69.4%). Among adults diagnosed with hypertension, implementation of a large-scale hypertension program was associated with a significant increase in hypertension control compared with state and national control rates.
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影响因子：
5.7
作者：
Aucott, JN;Pelecanos, E;Aron, DC
通讯作者：
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影响因子：
120.7
作者：
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Thompson, Robert S.
影响因子：
120.7
作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
16.2
作者：
Selby, JV;Ray, GT;Colby, CJ
通讯作者：
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