Sökning: onr:"swepub:oai:DiVA.org:uu-520166" >
Hypertension manage...
Hypertension management in primary health care : a survey in eight regions of Sweden
-
- Hellgren, Mikko, 1972- (författare)
- Örebro University,Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,University Health Care Research Centre, Örebro University Hospital, Örebro, Sweden; School of Medical Sciences, Örebro University, Örebro, Sweden,Univ Hlth Care Res Ctr, Örebro Univ Hosp, Örebro, Sweden.;Örebro Univ, Sch Med Sci, Örebro, Sweden.
-
- Wennberg, Patrik, 1972- (författare)
- Umeå University,Umeå universitet,Allmänmedicin,Umeå Univ, Dept Publ Hlth & Clin Med, Family Med, Umeå, Sweden.
-
- Hedin, Katarina (författare)
- Linköpings universitet,Linköping University,Lund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups,Futurum - Academy for Health and Care,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Futurum, Sweden; Lund Univ, Sweden
-
visa fler...
-
- Jansson, Stefan P.O. 1959- (författare)
- Uppsala University,Örebro University,Örebro universitet,Uppsala universitet,Allmänmedicin och preventivmedicin,Univ Hlth Care Res Ctr, Örebro Univ Hosp, Örebro, Sweden.;Örebro Univ, Sch Med Sci, Örebro, Sweden.,Institutionen för medicinska vetenskaper,Region Örebro län,University Health Care Research Centre, Örebro University Hospital, Örebro, Sweden; School of Medical Sciences, Örebro University, Örebro, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden,Univ Hlth Care Res Ctr, Sweden; Orebro Univ, Sweden; Uppsala Univ, Sweden
-
- Nilsson, Staffan (författare)
- Linköpings universitet,Linköping University,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Centrumledning PVC
-
- Nilsson, Gunnar (författare)
- Umeå University,Umeå universitet,Allmänmedicin,Umeå Univ, Dept Publ Hlth & Clin Med, Family Med, Umeå, Sweden.
-
- Wändell, Per (författare)
- Karolinska Institute,Karolinska Institutet,Karolinska Inst, Div Family Med & Primary Care, Dept Neurobiol Care Sci & Soc, Huddinge, Sweden.
-
- Boström, Kristina Bengtsson (författare)
- Gothenburg University,Göteborgs universitet,University of Gothenburg,Univ Gothenburg, Sweden,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine
-
visa färre...
-
(creator_code:org_t)
- Taylor & Francis, 2023
- 2023
- Engelska.
-
Ingår i: Scandinavian Journal of Primary Health Care. - : Taylor & Francis. - 0281-3432 .- 1502-7724. ; 41:3, s. 343-350
- Relaterad länk:
-
https://doi.org/10.1...
-
visa fler...
-
https://uu.diva-port... (primary) (Raw object)
-
https://umu.diva-por... (primary) (Raw object)
-
http://dx.doi.org/10... (free)
-
https://liu.diva-por... (primary) (Raw object)
-
https://urn.kb.se/re...
-
https://doi.org/10.1...
-
https://urn.kb.se/re...
-
https://urn.kb.se/re...
-
http://kipublication...
-
https://lup.lub.lu.s...
-
https://urn.kb.se/re...
-
https://gup.ub.gu.se...
-
visa färre...
Abstract
Ämnesord
Stäng
- Purpose: To explore hypertension management in primary healthcare (PHC).Design: Structured interviews of randomly selected PHC centres (PHCCs) from December 2019 to January 2021.Setting: Seventy-six PHCCs in eight regions of Sweden.Main outcome measures: Staffing and organization of hypertension care. Methods of measuring blood pressure (BP), laboratory tests, registration of co-morbidities and lifestyle advice at diagnosis and follow-up.Results: The management of hypertension varied among PHCCs. At diagnosis, most PHCCs (75%) used the sitting position at measurements, and only 13% routinely measured standing BP. One in three (33%) PHCCs never used home BP measurements and 25% only used manual measurements. The frequencies of laboratory analyses at diagnosis were similar in the PHCCs. At follow-up, fewer analyses were performed and the tests of lipids and microalbuminuria decreased from 95% to 45% (p < 0.001) and 61% to 43% (p = 0.001), respectively. Only one out of 76 PHCCs did not measure kidney function at routine follow-ups. Lifestyle, physical activity, food habits, smoking and alcohol use were assessed in & GE;96% of patients at diagnosis. At follow-up, however, there were fewer assessments. Half of the PHCCs reported dedicated teams for hypertension, 82% of which were managed by nurses. There was a great inequality in the number of patients per tenured GP in the PHCCs (median 2500; range 1300-11300) patients.Conclusions: The management of hypertension varies in many respects between PHCCs in Sweden. This might lead to inequity in the care of patients with hypertension.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Allmänmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- General Practice (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
Nyckelord
- Blood pressure
- general practice
- hypertension
- lifestyle factors
- primary health care
- >
- Blood pressure
- general practice
- hypertension
- lifestyle factors
- primary health care
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas