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Hypertension management in primary health care : a survey in eight regions of Sweden

Hellgren, Mikko, 1972- (author)
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- (author)
Umeå University,Umeå universitet,Allmänmedicin,Umeå Univ, Dept Publ Hlth & Clin Med, Family Med, Umeå, Sweden.
Hedin, Katarina (author)
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
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Jansson, Stefan P.O. 1959- (author)
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 (author)
Linköpings universitet,Linköping University,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Centrumledning PVC
Nilsson, Gunnar (author)
Umeå University,Umeå universitet,Allmänmedicin,Umeå Univ, Dept Publ Hlth & Clin Med, Family Med, Umeå, Sweden.
Wändell, Per (author)
Karolinska Institute,Karolinska Institutet,Karolinska Inst, Div Family Med & Primary Care, Dept Neurobiol Care Sci & Soc, Huddinge, Sweden.
Boström, Kristina Bengtsson (author)
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
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Taylor & Francis, 2023
2023
English.
In: Scandinavian Journal of Primary Health Care. - : Taylor & Francis. - 0281-3432 .- 1502-7724. ; 41:3, s. 343-350
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  • Journal article (peer-reviewed)
Abstract Subject headings
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  • 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.

Subject headings

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)

Keyword

Blood pressure
general practice
hypertension
lifestyle factors
primary health care
>
Blood pressure
general practice
hypertension
lifestyle factors
primary health care

Publication and Content Type

ref (subject category)
art (subject category)

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