• Users Online: 861
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2019  |  Volume : 4  |  Issue : 4  |  Page : 132-136

Process of care indicators among patients treated for hypertension at a tertiary care hospital in Puducherry, South India


1 Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
2 Department of Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
3 Department of Community Medicine, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India
4 Department of Community Medicine, All India Institute of Medical Sciences, Nagpur, Maharashtra, India
5 Academy for Public Health, Kozhikode, Kerala, India
6 Department of Preventive and Social Medicine, Medical College Baroda, Vadodara, Gujarat, India
7 Department of Community Medicine, GMERS Medical College Gotri, Vadodara, Gujarat, India
8 Department of Community Medicine, Kasturba Medical College, Mangalore, Karnataka, India
9 Department of Community Medicine and School of Public Health, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
Dr. Palanivel Chinnakali
Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research,Puducherry - 605 006
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jncd.jncd_34_19

Rights and Permissions

Background: Routine follow-ups, laboratory tests, and fundus examination are necessary in controlling blood pressure (BP) and thus control the complications of hypertension (HTN). Hence, in this study, we aimed to determine the process of care indicators among patients with HTN who have obtained care at a tertiary care center, South India. Methods: A hospital-based cross-sectional descriptive study was conducted among patients with HTN who were registered on or before September 2017 and were on treatment for a minimum of 1 year. Patient case records were retrospectively reviewed to identify the process indicators. Results: A total of 385 patients with HTN were included in this study. The mean (standard deviation) age was 57.9 (9.8) years and more than half were females (51.7%). Of total, 274 (71.2% [95% confidence interval (CI) 66.5–75.5]) patients have consulted their physicians on the last two scheduled visits and 62% (95% CI 56.9–66.5) have got their BPs measured. Only one-fifth underwent retinal examination and lipid profiling. Only 77 (20% [95% CI 15.8–23.7]) of the patients achieve at least three processes of care indicators we studied. Outcome indicators showed that around one-third (36.9%) of the participants had unsatisfactory outcome indicators with respect to BP control. Care-availing outpatients have 1.2 (95% CI 1–1.4) times higher poor care indicators (not underwent last three processes of care indicators) as compared to those availing care from HTN clinic (P = 0.01). Conclusions: We found suboptimal adherence to process of care indicators among patients with HTN availing care at a tertiary care hospital.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed197    
    Printed24    
    Emailed0    
    PDF Downloaded24    
    Comments [Add]    

Recommend this journal