The Edgecombe County High Blood Pressure Control Program: the process of medical care and blood pressure control.


Journal Article

As part of the Edgecombe County High Blood Pressure Control Program, a medical record review was conducted within a multispecialty private group practice in the county. The purposes of the review were to assess the relationship between the process of medical care and blood pressure control and to explore the variation in level and impact of medical care by race and sex. At the end of a three-year period, 41 percent of 628 hypertensive patients from the practice had uncontrolled diastolic blood pressure (DBP), as defined by Hypertension Detection and Follow-up Program criteria. The percentage of uncontrolled hypertensives ranged from 53 percent for black men to 34 percent for white women. Hypertensive patients whose physicians were more aggressive in their use of antihypertensive drug therapy were more likely to be controlled. The effect of the level of physician drug aggressiveness tended to be more pronounced for blacks than for whites. Differences by race in exposure to and efficacy of aggressive drug treatment may influence racial variation in blood pressure control.

Full Text

Duke Authors

Cited Authors

  • Ballard, DJ; Strogatz, DS; Wagner, EH; Siscovick, DS; James, SA; Kleinbaum, DG; Williams, CA; Cutchin, LM; Ibrahim, MA

Published Date

  • September 1986

Published In

Volume / Issue

  • 2 / 5

Start / End Page

  • 278 - 284

PubMed ID

  • 3453192

Pubmed Central ID

  • 3453192

Electronic International Standard Serial Number (EISSN)

  • 1873-2607

International Standard Serial Number (ISSN)

  • 0749-3797

Digital Object Identifier (DOI)

  • 10.1016/s0749-3797(18)31319-9


  • eng