Open AccessImplementing Effective Hypertension Quality Improvement Strategies: Barriers and Potential Solutions
Author(s) -
Walsh Judith M. E.,
Sundaram Vandana,
McDonald Kathryn,
Owens Douglas K.,
Goldstein Mary Kane
Publication year - 2008
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/j.1751-7176.2008.07425.x
Subject(s) - medicine , quality management , psychological intervention , blood pressure , promotion (chess) , intensive care medicine , control (management) , quality (philosophy) , patient education , risk analysis (engineering) , process management , nursing , management system , operations management , computer science , business , philosophy , epistemology , artificial intelligence , politics , political science , law , economics
Many quality improvement strategies have focused on improving blood pressure control, and these strategies can target the patient, the provider, and/or the system. Strategies that seem to have the biggest effect on blood pressure outcomes are team change, patient education, facilitated relay of clinical information, and promotion of self‐management. Barriers to effective blood pressure control can affect the patient, the physician, the system, and/or “cues to action.”We review the barriers to achieving blood pressure control and describe current and potential creative strategies for optimizing blood pressure control. These include home‐based disease management, combined patient and provider education, and automatic decision support systems. Future research must address which components of quality improvement interventions are most successful in achieving blood pressure control.