The role of care management as a population health intervention to address disparities and contr ol hypert ension: A quasi-experimental observational study

Tanvir Hussain, Whitney Franz, Emily Brown, Athena Kan, Mekam Okoye, Katherine Dietz, Kara Taylor, Kathryn Anne Carson, Jennifer Halbert, Arlene Dalcin, Cheryl A M Anderson, Romsai Tony Boonyasai, Michael Albert, Jill A Marsteller, Lisa A Cooper

Research output: Contribution to journalArticle

Abstract

Objective: We studied whether care management is a pragmatic solution for improving population blood pressure (BP) control and addressing BP disparities between Blacks and Whites in routine clinical environments. Design: Quasi-experimental, observational study. Setting and Participants: 3,964 uncontrolled hypertensive patients receiving primary care within the last year from one of six Baltimore clinics were identified as eligible. Intervention: Three in-person sessions over three months with registered dietitians and pharmacists who addressed medication titration, patient adherence to healthy behaviors and medication, and disparitiesrelated barriers. Main Measures: We assessed the population impact of care management using the RE-AIM framework. To evaluate effectiveness in improving BP, we used unadjusted, adjusted, and propensity-score matched differences-in-differences models to compare those who completed all sessions with partial completers and non-participants. Results: Of all eligible patients, 5% participated in care management. Of 629 patients who entered care management, 245 (39%) completed all three sessions. Those completing all sessions on average reached BP control (mean BP 137/78) and experienced 9 mm Hg systolic blood pressure (P

Original languageEnglish (US)
Pages (from-to)285-294
Number of pages10
JournalEthnicity and Disease
Volume26
Issue number3
DOIs
StatePublished - Jun 1 2016

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Keywords

  • Care Management
  • Disparities
  • Hypertension
  • Population Health
  • Primary Care
  • Quality Improvement

ASJC Scopus subject areas

  • Epidemiology
  • Medicine(all)

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