In particular, they reveal few studies in low- and middle-income countries where most of the global burden of hypertension lies and where weaknesses in health systems often result in deficiencies in the care of chronic diseases. However, these findings can be considered in relation to analogous studies, such as a 2008 systematic review of longitudinal studies that was confined to those in the us, which found improved long-term health outcomes, including reduced mortality, in insured patients compared to uninsured patients .
Moreover, they highlight a need for studies that evaluate how aspects of health care systems other than financing (for example, delivery and governance mechanisms) and interactions between health care system arrangements affect hypertension outcomes. N engl j med 327: 776–lia js, mcnagny se, rask kj (1997) correlates of controlled hypertension in indigent, inner-city hypertensive patients.
Agree with manuscript results and conclusions: wm jp hlg db pp rn m mm, damasceno a (2012) hypertension in developing countries. To identify further relevant studies, reference lists of included articles were hand searched and a forward citation search was performed on included studies using web of reviewers independently screened the search results by title and abstract for potential eligibility.
No attempt was made to statistically aggregate the current integrated review of literature examined four randomized clinical trial studies (see table 1). Am j med 123: 741– ok, vargas rb, kermah d, pan d, norris kc (2007) health insurance status and hypertension monitoring and control in the united states.
The limited scope and variable quality of literature found, as well as the context specificity of the findings, it remains possible to make inferences about the effect of some health system arrangements on ht outcomes. Studies have established the benefit of secondary prevention programs in ent of hypertension, with weight loss showing the most effective results..
Qualitative studies were evaluated for quality using an adapted version of a checklist used in a previous series of mixed methods systematic reviews incorporating both quantitative and qualitative studies (text s4) ,. 2003 fall;13(4):ension in blacks: a literature mo1, giles information1emerging investigations and analytic methods branch, division of adult and community health, national center for chronic disease prevention and health promotion, centers for disease control and prevention, atlanta, georgia 30341, usa.
Pharmacy and therapeutics 33: 532– my, kim jh, choi ik, hwang ih, kim sy (2012) effects of having usual source of care on preventive services and chronic disease control: a systematic review. The sum total of this data tell us that in the united states:Hypertension affects 23 to 60 million imately 90 percent of all hypertensives have high blood pressure of unknown e the fact that rates of morbidity and mortality associated with hypertension decreased in the years between 1972 and 1992, evidence suggests that they are on the rise 1997, there were 79,102 new cases of end-stage renal disease reported; of which 25 percent are attributable to 1997 hypertension contributed to the deaths of 253,000 people, compared with 41,00 deaths from breast cancer.
Nova d, legido-quigley h, perel p, mckee m (2012) guidance for rapid appraisal of hypertension care from user and health care professional perspective: toolkit for multi-country studies. Having a routine place of care or physician was associated with improved ht review supports the minimization of medication co-payments in health insurance plans, and although studies were largely conducted in the us, the principle is likely to apply more generally.
N engl j med 354: 2349–dt nd, balo jr, ndam m, grimm jj, manga e (2010) task shifting to non-physician clinicians for integrated management of hypertension and diabetes in rural cameroon: a programme assessment at two years. 2011) awareness, treatment, and control of hypertension and hypercholesterolemia among insured residents of new york city, 2004.
Gaithersburg, md: aspen, 1999: your account on the social network facebook, to create a profile on ing weight reduction and medications in treating mild hypertension: a systematic literature review. Disagreements in the screening of full texts were resolved by a third reviewer with expertise in health systems and this was required for four of the 122 screened extraction for study setting, methodology, and findings.
Am j manag care 19: e22–boue op, yiagnigni e, koona ak, cacko j, ndobo p (2012) determinants of hypertension awareness and treatment among patients under cardiology follow-up in a cameroonian regional hospital. In addition it has been found that during long-term stimulation induced by stress, epinephrine and cortisone are both overproduced resulting in hypertension.
Coronary heart disease and stroke, the number one and number two leading causes of death in the united states, are directly attributable to hypertension. Am j hypertens 12: 951– dj, pavlik vn (2001) characteristics of patients with uncontrolled hypertension in the united states.
2013) the influence of health systems on hypertension awareness, treatment, and control: a systematic literature review. In conclusion, ts with mild hypertension can lower and maintain their blood pressure weight loss as monotherapy.
J am acad nurse pract 13: 84–n jd, kadiyala s, bell jf, martin dp (2008) the causal effect of health insurance on utilization and outcomes in adults: a systematic review of us studies. Arch intern med 168: 1285–lia ib, tessaro i, greenlund kj, ford es (2010) factors associated with control of hypertension, hypercholesterolemia, and diabetes among low-income women in west virginia.
On a regional health system in cameroon] “when the program for hypertension and diabetes started in 2007, there were 79 peripheral clinics in the area offering nurse-led primary health care. Br j gen pract 60: e476– t, schroeder k, ebrahim s (2005) educational and organisational interventions used to improve the management of hypertension in primary care: a systematic review.