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How Views of the Organization of Primary Care Among Patients with Hypertension Vary by Race or Ethnicity.

Abstract：

INTRODUCTION:We assessed potential racial or ethnic differences in the degree to which veterans with pharmaceutically treated hypertension report experiences with their primary care system that are consistent with optimal chronic illness care as suggested by Wagner's Chronic Care Model (CCM). MATERIALS AND METHODS:A cross-sectional analysis of the results of the Patient Assessment of Chronic Illness Care (PACIC), which measured components of the care system suggested by the CCM and was completed at baseline by participants in a hypertension disease management clinical trial. Participants had a recent history of uncontrolled systolic blood pressure. RESULTS:Among 377 patients, non-Hispanic African American veterans had almost twice the odds of indicating that their primary care experience is consistent with CCM features when compared with non-Hispanic White patients (odds ratio (OR) = 1.86; 95% confidence interval (CI) = 1.16-2.98). Similar statistically significant associations were observed for follow-up care (OR = 2.59; 95% CI = 1.49-4.50), patient activation (OR = 1.80; 95% CI = 1.13-2.87), goal setting (OR = 1.65; 95% CI = 1.03-2.64), and help with problem solving (OR = 1.62; 95% CI = 1.00-2.60). CONCLUSIONS:Non-Hispanic African Americans with pharmaceutically treated hypertension report that the primary care system more closely approximates the Wagner CCM than non-Hispanic White patients.

journal_name

Mil Med

journal_title

Military medicine

authors

Jackson GL,Stechuchak KM,Weinberger M,Bosworth HB,Coffman CJ,Kirshner MA,Edelman D

doi

10.1093/milmed/usx111

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

e583-e588

issue

9-10

eissn

0026-4075

issn

1930-613X

pii

4973659

journal_volume

183

pub_type

杂志文章

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