Providers' assessment of barriers to effective management of hypertension and hyperlipidemia in community health centers

Journal of Health Care for the Poor and Underserved
S CookMarshall H Chin

Abstract

We explored 251 providers' (47% licensed practical nurses, 27% registered nurses, 10% physicians, 10% physician assistants, 6% other) perceptions of barriers to effective management of hypertension and hyperlipidemia from 72 Midwest community health centers (CHCs). Optimal care for these diseases is difficult in any setting; little is known about the specific barriers CHCs face. Community health centers often have a multidisciplinary team that participates in patient care. Current models of quality improvement and chronic care management require virtually all CHC providers to know clinical guidelines. Providers in this study generally chose hypertension and hyperlipidemia target levels that met or were more stringent than national guidelines, but lacked confidence to address behavioral change and reported obstacles to modifying patient lifestyle. Community health centers should strengthen providers' skills in facilitating lifestyle change. Improving quality of care requires supporting providers' efforts to take patients' psychosocial and financial challenges into account, and revised policies to eliminate financial and cultural barriers to care.

Associated Clinical Trials

Citations

Jul 18, 2014·Iranian Red Crescent Medical Journal·Leila SabzmakanMasoud Mirzaei
Oct 6, 2009·Progress in Community Health Partnerships : Research, Education, and Action·Chima D NdumeleLeroi S Hicks
Dec 25, 2009·Circulation. Cardiovascular Quality and Outcomes·Bonnie L SvarstadRoger L Brown
Apr 11, 2009·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Rubeen K IsraniHarold I Feldman
Sep 25, 2007·Patient Education and Counseling·Jennifer A SchlichtingMarshall H Chin
Aug 22, 2009·Journal of Clinical Nursing·Porat NuritZelker Revital
Aug 26, 2011·American Journal of Hypertension·Donna ShelleyHelene Kopal
Oct 4, 2008·Clinical Pediatrics·Alexis Boneparth, Joseph T Flynn
Mar 12, 2011·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Daniel J ElliottLee Ann Riesenberg
Jul 2, 2019·International Journal of Nursing Practice·Emmanuel Dayao Paragas, Teresita I Barcelo

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