Process of care indicators among patients treated for hypertension at a tertiary care hospital in Puducherry, South India

Jeby Jose Olickal; Chanaveerappa Bammigatti; Vinayagamoorthy Venugopal; Kalaiselvi Selvaraj; Karthickeyan Duraisamy; Kalpita Shringarpure; Vanitha Priya Deenathayalan; Kedar Gautambhai Mehta; Priya Rathi; Manisha Chetan Khemani; Sadhana Subramanian; Revathi Ulaganeethi; Palanivel Chinnakali

doi:10.4103/jncd.jncd_34_19

Users Online: 328

ORIGINAL ARTICLE

Year : 2019 | Volume : 4 | Issue : 4 | Page : 132-136

Process of care indicators among patients treated for hypertension at a tertiary care hospital in Puducherry, South India

Jeby Jose Olickal¹, Chanaveerappa Bammigatti², Vinayagamoorthy Venugopal³, Kalaiselvi Selvaraj⁴, Karthickeyan Duraisamy⁵, Kalpita Shringarpure⁶, Vanitha Priya Deenathayalan⁵, Kedar Gautambhai Mehta⁷, Priya Rathi⁸, Manisha Chetan Khemani⁹, Sadhana Subramanian¹, Revathi Ulaganeethi¹, Palanivel Chinnakali¹
¹ Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
² Department of Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
³ Department of Community Medicine, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India
⁴ Department of Community Medicine, All India Institute of Medical Sciences, Nagpur, Maharashtra, India
⁵ Academy for Public Health, Kozhikode, Kerala, India
⁶ Department of Preventive and Social Medicine, Medical College Baroda, Vadodara, Gujarat, India
⁷ Department of Community Medicine, GMERS Medical College Gotri, Vadodara, Gujarat, India
⁸ Department of Community Medicine, Kasturba Medical College, Mangalore, Karnataka, India
⁹ Department of Community Medicine and School of Public Health, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
Dr. Palanivel Chinnakali
Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research,Puducherry - 605 006
India

Source of Support: None, Conflict of Interest: None

Check

DOI: 10.4103/jncd.jncd_34_19

Background: Routine follow-ups, laboratory tests, and fundus examination are necessary in controlling blood pressure (BP) and thus control the complications of hypertension (HTN). Hence, in this study, we aimed to determine the process of care indicators among patients with HTN who have obtained care at a tertiary care center, South India. Methods: A hospital-based cross-sectional descriptive study was conducted among patients with HTN who were registered on or before September 2017 and were on treatment for a minimum of 1 year. Patient case records were retrospectively reviewed to identify the process indicators. Results: A total of 385 patients with HTN were included in this study. The mean (standard deviation) age was 57.9 (9.8) years and more than half were females (51.7%). Of total, 274 (71.2% [95% confidence interval (CI) 66.5–75.5]) patients have consulted their physicians on the last two scheduled visits and 62% (95% CI 56.9–66.5) have got their BPs measured. Only one-fifth underwent retinal examination and lipid profiling. Only 77 (20% [95% CI 15.8–23.7]) of the patients achieve at least three processes of care indicators we studied. Outcome indicators showed that around one-third (36.9%) of the participants had unsatisfactory outcome indicators with respect to BP control. Care-availing outpatients have 1.2 (95% CI 1–1.4) times higher poor care indicators (not underwent last three processes of care indicators) as compared to those availing care from HTN clinic (P = 0.01). Conclusions: We found suboptimal adherence to process of care indicators among patients with HTN availing care at a tertiary care hospital.

[FULL TEXT] [PDF]*

Table of Contents

Similar in PUBMED

Search Pubmed for

Search in Google Scholar for

Related articles

Citation Manager

Access Statistics

Reader Comments

Email Alert *

Add to My List *

* Requires registration (Free)

Article Access Statistics

Viewed	1541

Printed	107

Emailed	0

PDF Downloaded	60

Comments	[Add]