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Quality Of Care For Women With High Blood Pressure Doesn't Meet Recommendations.
2001 JUN 14- (NewsRx Network) -- Care for women with hypertension falls short of U.S. national guidelines, according to a new measurement system to assess the quality of care.
Steven M. Asch, MD, MPH, from the Veterans Affairs Greater Los Angeles Health Care System, Los Angeles, California, and colleagues examined data from a quality measurement system for hypertension developed and tested on hypertensive women in a West Coast health plan. An expert panel selected 13 clinically detailed, evidence-explicit indicators (one screening, five diagnostic, five treatment, and two follow-up indicators). Trained nurses used a laptop-based tool to abstract data from medical records for the most recent two years of care.
Of 15,004 eligible patients with hypertensive and other chronic disease codes, 613 patients were sampled, all eligible for the screening indicator. Of these, 234 women with an average blood pressure of 140/90 mmHg or more, or a documented diagnosis of hypertension, were studied for the remaining indicators.
Writing in the May 28, 2001, issue of the Archives of Internal Medicine, Asch et al. reported that the average woman received 64% of the ...
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