Measure Accurately, Act Rapidly, and Partner With Patients (MAP) improves hypertension control in medically underserved patients: Care Coordination Institute and American Medical Association Hypertension Control Project Pilot Study results.
Measure Accurately, Act Rapidly, and Partner With Patients (MAP) improves hypertension control in medically underserved patients: Care Coordination Institute and American Medical Association Hypertension Control Project Pilot Study results.
复制标题
DOI：
10.1111/jch.13141
复制
发表时间：
2018-01
期刊：
影响因子：
--
通讯作者：
Egan BM
中科院分区：
文献类型：
--
作者：
Hanlin RB;Asif IM;Wozniak G;Sutherland SE;Shah B;Yang J;Davis RA;Bryan ST;Rakotz M;Egan BM
准确测量，快速行动，与患者合作（MAP）是一项基于证据的方案，用于改善服务不足患者（49.9%的医疗补助和50.2%的黑人）的高血压控制。纳入干预前一年出现的高血压患者，以及干预6个月期间至少就诊一次的患者（N = 714）。如果首次值勤血压（BP；标准无动脉血压计）≥140/≥90 mm Hg，则使用欧姆龙HEM‐907XL自动测量3次无人值勤办公室血压并取平均值（准确测量）。当自动办公室血压≥140/≥90 mm Hg时，通过治疗惯性评估，快速行动包括抗高血压药物的强化。患者的同伴包括血压自我监测、减轻药丸负担和最小化药物费用，通过每次强化治疗的收缩压变化来评估。在基线和最后一次研究访问之间，血压控制在<140/<90 mmhg从61.2%增加到89.9% （P < 0.0001）。MAP快速而显著地改善了医疗服务不足患者的高血压控制，这在很大程度上是准确测量血压和与患者合作的结果。
Measure Accurately, Act Rapidly, and Partner With Patients (MAP) is an evidence‐based protocol implemented to improve hypertension control in a clinic for underserved patients (49.9% Medicaid and 50.2% black). Patients with hypertension seen during the year before intervention and with at least one visit during the 6‐month intervention (N = 714) were included. If initial attended blood pressure (BP; standard aneroid manometer) was ≥140/≥90 mm Hg, unattended automated office BP was measured in triplicate and averaged (Measure Accurately) using an Omron HEM‐907XL. When automated office BP was ≥140/≥90 mm Hg, Act Rapidly included intensification of antihypertensive medications, assessed by therapeutic inertia. Partner With Patients included BP self‐monitoring, reducing pill burden, and minimizing medication costs, which was assessed by systolic BP change per therapeutic intensification. Between baseline and the last study visit, BP control to <140/<90 mm Hg increased from 61.2% to 89.9% (P < .0001). MAP rapidly and significantly improved hypertension control in medically underserved patients, largely as a result of measuring BP accurately and partnering with patients.
登录
查看更多内容
影响因子：
2
作者：
Lewis LM;Ogedegbe C;Ogedegbe G
通讯作者：
Ogedegbe G
DOI：
10.1161/hypertensionaha.114.04276
发表时间：
2014-11
期刊：
Hypertension (Dallas, Tex. : 1979)
影响因子：
--
作者：
Egan BM;Li J;Small J;Nietert PJ;Sinopoli A
通讯作者：
Sinopoli A
影响因子：
37.8
作者：
Egan BM;Li J;Hutchison FN;Ferdinand KC
通讯作者：
Ferdinand KC
影响因子：
37.8
作者：
Benjamin, Emelia J.;Virani, Salim S.;Muntner, Paul
通讯作者：
Muntner, Paul
影响因子：
120.7
作者：
Jaffe, Marc G.;Lee, Grace A.;Young, Joseph D.;Sidney, Stephen;Go, Alan S.
通讯作者：
Go, Alan S.