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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00005821naa a2200493 4500
001oai:gup.ub.gu.se/290281
003SwePub
008240528s2020 | |||||||||||000 ||eng|
009oai:DiVA.org:umu-167169
0247 a https://gup.ub.gu.se/publication/2902812 URI
0247 a https://doi.org/10.1001/jamanetworkopen.2019.186252 DOI
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1671692 URI
040 a (SwePub)gud (SwePub)umu
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Brunström, Mattiasu Umeå universitet,Avdelningen för medicin4 aut0 (Swepub:umu)mabr0041
2451 0a Association of physician education and feedback on hypertension management with patient blood pressure and hypertension control
264 c 2020-01-08
264 1b American Medical Association (AMA),c 2020
520 a Elevated systolic blood pressure (SBP) is the most important risk factor for premature death worldwide. However, hypertension detection and control rates continue to be suboptimal.To assess the association of education and feedback to primary care physicians with population-level SBP and hypertension control rates.This pooled series of 108 population-based cohort studies involving 283 079 patients used data from primary care centers in 2 counties (Västerbotten and Södermanland) in Sweden from 2001 to 2009. Participants were individuals aged 18 years or older who had their blood pressure (BP) measured and recorded in either county during the intervention period. All analyses were performed in February 2019.An intervention comprising education and feedback for primary care physicians in Västerbotten County (intervention group) compared with usual care in Södermanland County (control group).Difference in mean SBP levels between counties and likelihood of hypertension control in the intervention county compared with the control county during 24 months of follow-up.A total of 136 541 unique individuals (mean [SD] age at inclusion, 64.6 [16.1] years; 57.0% female; mean inclusion BP, 142/82 mm Hg) in the intervention county were compared with 146 538 individuals (mean [SD] age at inclusion, 65.7 [15.9] years; 58.3% female; mean inclusion BP, 144/80 mm Hg) in the control county. Mean SBP difference between counties during follow-up, adjusted for inclusion BP and other covariates, was 1.1 mm Hg (95% CI, 1.0-1.1 mm Hg). Hypertension control improved by 8.4 percentage points, and control was achieved in 37.8% of participants in the intervention county compared with 29.4% in the control county (adjusted odds ratio, 1.30; 95% CI, 1.29-1.31). Differences between counties increased during the intervention period and were more pronounced in participants with higher SBP at inclusion. Results were consistent across all subgroups.This study suggests that SBP levels and hypertension control rates in a county population may be improved by educational approaches directed at physicians and other health care workers. Similar strategies may be adopted to reinforce the implementation of clinical practice guidelines for hypertension management.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Allmänmedicin0 (SwePub)302242 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex General Practice0 (SwePub)302242 hsv//eng
7001 a Ng, Nawi,d 1974u Umeå universitet,Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Institutionen för epidemiologi och global hälsa,Department of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden,Arcum4 aut0 (Swepub:umu)ngna0002
7001 a Dahlström, Johnu Umeå universitet,Avdelningen för medicin4 aut0 (Swepub:umu)jondam00
7001 a Lindholm, Lars H.u Umeå universitet,Allmänmedicin4 aut0 (Swepub:umu)lali0001
7001 a Lönnberg, Göranu Umeå universitet,Institutionen för epidemiologi och global hälsa4 aut0 (Swepub:umu)gollog78
7001 a Norberg, Margaretau Umeå universitet,Institutionen för epidemiologi och global hälsa,Kardiologi4 aut0 (Swepub:umu)mano0062
7001 a Nyström, Lennarth,d 1944-u Umeå universitet,Institutionen för epidemiologi och global hälsa4 aut0 (Swepub:umu)leny0002
7001 a Weinehall, Larsu Umeå universitet,Institutionen för epidemiologi och global hälsa4 aut0 (Swepub:umu)lawe0001
7001 a Carlberg, Bou Umeå universitet,Avdelningen för medicin4 aut0 (Swepub:umu)boca0001
7102 a Umeå universitetb Avdelningen för medicin4 org
7730 t JAMA Network Opend : American Medical Association (AMA)g 3:1q 3:1x 2574-3805
8564 u https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2758403/brunstrm_2020_oi_190702.pdf
8564 u https://doi.org/10.1001/jamanetworkopen.2019.18625y Fulltext
8564 u https://umu.diva-portal.org/smash/get/diva2:1384509/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 8u https://gup.ub.gu.se/publication/290281
8564 8u https://doi.org/10.1001/jamanetworkopen.2019.18625
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-167169

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