1. Physician, organizational, and patient factors associated with suboptimal blood pressure management in type 2 diabetic patients in primary care.
- Author
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Schaars CF, Denig P, Kasje WN, Stewart RE, Wolffenbuttel BH, and Haaijer-Ruskamp FM
- Subjects
- Aged, Angiotensin-Converting Enzyme Inhibitors therapeutic use, Antihypertensive Agents therapeutic use, Diabetic Angiopathies drug therapy, Diabetic Angiopathies epidemiology, Family Practice, Female, Humans, Hypertension drug therapy, Hypertension epidemiology, Male, Netherlands epidemiology, Primary Health Care, Retrospective Studies, Diabetes Mellitus, Type 2 physiopathology, Diabetes Mellitus, Type 2 therapy, Diabetic Angiopathies therapy, Hypertension therapy
- Abstract
Objective: To assess the quality of hypertension care in patients with type 2 diabetes in general practice and identify physician, organizational, and patient factors associated with suboptimal care., Research Design and Methods: Data from 895 randomly selected diabetic patients were extracted from the electronic medical records of 95 general practitioners. Physician and organizational characteristics were collected with a questionnaire. We conducted a multilevel analysis to identify associations with blood pressure registration, hypertension treatment, and achievement of target blood pressure levels., Results: For 652 patients (73%), a blood pressure measurement was recorded in the last year. Of these patients, 132 (20%) reached a target level of 135/85 mmHg. In total, 595 patients were classified as having hypertension, of whom 192 received no treatment (32%), 193 received an ACE inhibitor (32%), and 210 received other antihypertensives. Patients visiting a diabetes facility, referred to a specialist, with a female general practitioner, or with a general practitioner with
- Published
- 2004
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