A multicomponent quality improvement intervention to improve blood pressure and reduce racial disparities in rural primary care practices.
A multicomponent quality improvement intervention to improve blood pressure and reduce racial disparities in rural primary care practices.
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DOI：
10.1111/jch.12944
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发表时间：
2017-04
期刊：
影响因子：
--
通讯作者：
DeWalt D
中科院分区：
文献类型：
--
作者：
Cené CW;Halladay JR;Gizlice Z;Donahue KE;Cummings DM;Hinderliter A;Miller C;Johnson LF;Garcia B;Tillman J;Little EP;Rachide MR;Keyserling TC;Ammerman A;Zhou H;Wu JR;DeWalt D
美国东南部的高血压（HTN）患病率最高，非洲裔美国人（AA）的血压控制不成比例地差。我们试图在525例患者中评价多组分基于实践的质量改善（QI）干预对降低12个月和24个月时的平均收缩压（SBP）的影响，并评估不同种族（AA与白人）干预的差异效应。12个月时，AA（-5.0 mmHg）和白人（-7.8 mmHg）的平均SBP与基线相比均显著降低，组间无显著差异。同样，在24个月时，AA（-6.0 mmHg）和白人（-7.2 mmHg）的平均SBP均降低，组间无显著差异。值得注意的是，我们在基线时的平均SBP没有显著的种族差异。我们的干预措施在降低AA和白人的平均SBP方面都有效，但在种族之间没有差异。
The Southeastern US has highest prevalence of hypertension (HTN) and African Americans (AAs) have disproportionately worse blood pressure control. We sought to evaluate the effect of a multi-component practice-based quality improvement (QI) intervention on lowering mean systolic blood pressure (SBP) at 12 and 24 months compared to baseline among 525 patients, and to assess for a differential effect of the intervention by race (AAs vs. Whites). At 12 months, both AAs (-5.0mmHg) and Whites (-7.8mmHg) had a significant decrease in mean SBP compared to baseline, with no significant between-groups difference. Similarly, at 24 months, mean SBP decreased in both AAs (-6.0mmHg) and whites (-7.2mmHg), with no significant difference between groups. Notably, we did not have a significant racial disparity in mean SBP at baseline. Our intervention was effective at lowering mean SBP in both AAs and whites but there was no differential effect of the intervention by race.
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DOI：
10.1111/j.1751-7176.2011.00477.x
发表时间：
2011-08
期刊：
Journal of clinical hypertension (Greenwich, Conn.)
影响因子：
--
作者：
Johnson W;Shaya FT;Khanna N;Warrington VO;Rose VA;Yan X;Bailey-Weaver B;Mullins CD;Saunders E
通讯作者：
Saunders E
影响因子：
39.2
作者：
Bosworth HB;Olsen MK;Grubber JM;Neary AM;Orr MM;Powers BJ;Adams MB;Svetkey LP;Reed SD;Li Y;Dolor RJ;Oddone EZ
通讯作者：
Oddone EZ
影响因子：
3.2
作者：
Hill, MN;Han, HR;Post, WS
通讯作者：
Post, WS
影响因子：
8.3
作者：
Howard, G;Prineas, R;Howard, V
通讯作者：
Howard, V
影响因子：
2.8
作者：
Halladay JR;Donahue KE;Hinderliter AL;Cummings DM;Cene CW;Miller CL;Garcia BA;Tillman J;DeWalt D;Heart Healthy Lenoir Research Team
通讯作者：
Heart Healthy Lenoir Research Team