TY - JOUR
T1 - A 41-year-old african american man with poorly controlled hypertension
T2 - Review of patient and physician factors related to hypertension treatment adherence
AU - Cooper, Lisa A.
PY - 2009/3/25
Y1 - 2009/3/25
N2 - Mr R is an African American man with a long history of poorly controlled hypertension and difficulties with adherence to recommended treatments. Despite serious complications such as hypertensive emergency requiring hospitalization and awareness of the seriousness of his illness, Mr R says at times he has ignored his high blood pressure and his physicians' recommendations. African Americans are disproportionately affected by hypertension and its complications. Although most pharmacological and dietary therapies for hypertension are similarly efficacious for African Americans and whites, disparities in hypertension treatment persist. Like many patients, Mr R faces several barriers to effective blood pressure control: societal, health system, individual, and interactions with health professionals. Moreover, evidence indicates that patients' cognitive, affective, and attitudinal factors and the patientphysician relationship play critical roles in improving outcomes and reducing racial disparities in hypertension control.
AB - Mr R is an African American man with a long history of poorly controlled hypertension and difficulties with adherence to recommended treatments. Despite serious complications such as hypertensive emergency requiring hospitalization and awareness of the seriousness of his illness, Mr R says at times he has ignored his high blood pressure and his physicians' recommendations. African Americans are disproportionately affected by hypertension and its complications. Although most pharmacological and dietary therapies for hypertension are similarly efficacious for African Americans and whites, disparities in hypertension treatment persist. Like many patients, Mr R faces several barriers to effective blood pressure control: societal, health system, individual, and interactions with health professionals. Moreover, evidence indicates that patients' cognitive, affective, and attitudinal factors and the patientphysician relationship play critical roles in improving outcomes and reducing racial disparities in hypertension control.
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U2 - 10.1001/jama.2009.358
DO - 10.1001/jama.2009.358
M3 - Review article
C2 - 19258571
AN - SCOPUS:63349110552
SN - 0098-7484
VL - 301
SP - 1260
EP - 1272
JO - JAMA
JF - JAMA
IS - 12
ER -