Hypertension management in primary health care: a survey in eight regions of Sweden

To explore hypertension management in primary healthcare (PHC). Structured interviews of randomly selected PHC centres (PHCCs) from December 2019 to January 2021. Seventy-six PHCCs in eight regions of Sweden. Staffing and organization of hypertension care. Methods of measuring blood pressure (BP), l...

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Veröffentlicht in:Scandinavian journal of primary health care 2023, Vol.41 (3), p.343-350
Hauptverfasser: Hellgren, Mikko, Wennberg, Patrik, Hedin, Katarina, Jansson, Stefan, Nilsson, Staffan, Nilsson, Gunnar, Wändell, Per, Bengtsson Boström, Kristina
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Sprache:eng
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Zusammenfassung:To explore hypertension management in primary healthcare (PHC). Structured interviews of randomly selected PHC centres (PHCCs) from December 2019 to January 2021. Seventy-six PHCCs in eight regions of Sweden. Staffing and organization of hypertension care. Methods of measuring blood pressure (BP), laboratory tests, registration of co-morbidities and lifestyle advice at diagnosis and follow-up. The management of hypertension varied among PHCCs. At diagnosis, most PHCCs (75%) used the sitting position at measurements, and only 13% routinely measured standing BP. One in three (33%) PHCCs never used home BP measurements and 25% only used manual measurements. The frequencies of laboratory analyses at diagnosis were similar in the PHCCs. At follow-up, fewer analyses were performed and the tests of lipids and microalbuminuria decreased from 95% to 45% (  
ISSN:0281-3432
1502-7724
1502-7724
DOI:10.1080/02813432.2023.2242711