Skip to main content
Journal cover image

Management of cardiovascular risk in the usual care of Medicaid recipients.

Publication ,  Journal Article
DuBard, CA; Schmid, D; Bostrom, S; Yow, A; Viera, AJ; Huston, S; Lawrence, W
Published in: J Health Care Poor Underserved
August 2011

Uncontrolled risk factors contribute substantially to cardiovascular disease burden. With retrospective chart review, we examined rates of cardiovascular risk factor assessment and intervention during the course of usual care for a representative sample of 3,742 adult North Carolina Medicaid recipients with diagnosed hypertension managed by a primary care provider. Most patients had been established with their provider for at least three years. Ninety-six percent had multiple modifiable risk factors. Blood pressure and cholesterol were above goal for 52.9% and 37.2% of patients, respectively. Among those with uncontrolled blood pressure, only 44.3% had intensification of therapy within the prior year. Half of patients with cholesterol above goal were treated with medication; and half of current smokers had documented advice to quit. Documentation of aspirin use or counseling was rare. Despite Medicaid coverage and access to care, many effective strategies to prevent cardiovascular events were underutilized, even among patients at highest risk.

Duke Scholars

Published In

J Health Care Poor Underserved

DOI

EISSN

1548-6869

Publication Date

August 2011

Volume

22

Issue

3

Start / End Page

772 / 790

Location

United States

Related Subject Headings

  • Young Adult
  • United States
  • Treatment Outcome
  • Risk Factors
  • Retrospective Studies
  • Public Health
  • Primary Health Care
  • Practice Patterns, Physicians'
  • North Carolina
  • Middle Aged
 

Citation

APA
Chicago
ICMJE
MLA
NLM
DuBard, C. A., Schmid, D., Bostrom, S., Yow, A., Viera, A. J., Huston, S., & Lawrence, W. (2011). Management of cardiovascular risk in the usual care of Medicaid recipients. J Health Care Poor Underserved, 22(3), 772–790. https://doi.org/10.1353/hpu.2011.0088
DuBard, C Annette, Dorothee Schmid, Susan Bostrom, Angie Yow, Anthony J. Viera, Sara Huston, and William Lawrence. “Management of cardiovascular risk in the usual care of Medicaid recipients.J Health Care Poor Underserved 22, no. 3 (August 2011): 772–90. https://doi.org/10.1353/hpu.2011.0088.
DuBard CA, Schmid D, Bostrom S, Yow A, Viera AJ, Huston S, et al. Management of cardiovascular risk in the usual care of Medicaid recipients. J Health Care Poor Underserved. 2011 Aug;22(3):772–90.
DuBard, C. Annette, et al. “Management of cardiovascular risk in the usual care of Medicaid recipients.J Health Care Poor Underserved, vol. 22, no. 3, Aug. 2011, pp. 772–90. Pubmed, doi:10.1353/hpu.2011.0088.
DuBard CA, Schmid D, Bostrom S, Yow A, Viera AJ, Huston S, Lawrence W. Management of cardiovascular risk in the usual care of Medicaid recipients. J Health Care Poor Underserved. 2011 Aug;22(3):772–790.
Journal cover image

Published In

J Health Care Poor Underserved

DOI

EISSN

1548-6869

Publication Date

August 2011

Volume

22

Issue

3

Start / End Page

772 / 790

Location

United States

Related Subject Headings

  • Young Adult
  • United States
  • Treatment Outcome
  • Risk Factors
  • Retrospective Studies
  • Public Health
  • Primary Health Care
  • Practice Patterns, Physicians'
  • North Carolina
  • Middle Aged