Hypertension. Management in a prepaid health care project
J. P. LoGerfo
Previous studies have shown that care for hypertension in clinical practice
is not optimal. This study consists of a review of medical records of 101
hypertensive patients enrolled in a community prepaid health care project,
in which all direct costs to patients are eliminated and in which patients
are known to have geographical access to care. The results show that even
under such conditions, there are deficiencies in what is done in the
diagnosis and management of hypertension (process of care). Furthermore,
recorded blood pressures in the medical records indicate that 34% of
identified patients had diastolic pressures greater than 95 mm Hg at the
time of last visit for hypertension.
