학술논문

Improvement in Blood Pressure Control in Safety Net Clinics Receiving 2 Versions of a Scalable Quality Improvement Intervention: BP MAP A Pragmatic Cluster Randomized Trial.
Document Type
article
Source
Journal of the American Heart Association. 12(3)
Subject
Humans
Hypertension
Blood Pressure Monitoring
Ambulatory
Blood Pressure
United States
Quality Improvement
Safety-net Providers
blood pressure
comparative effectiveness
hypertension
quality improvement
quasi‐experimental design
Clinical Research
Comparative Effectiveness Research
Health Services
Clinical Trials and Supportive Activities
Cardiovascular
Good Health and Well Being
quasi-experimental
Cardiorespiratory Medicine and Haematology
Language
Abstract
Background Uncontrolled blood pressure (BP) remains a leading cause of death in the United States. The American Medical Association developed a quality improvement program to improve BP control, but it is unclear how to efficiently implement this program at scale across multiple health systems. Methods and Results We conducted BP MAP (Blood Pressure Measure Accurately, Act Rapidly, and Partner With Patients), a comparative effectiveness trial with clinic-level randomization to compare 2 scalable versions of the quality improvement program: Full Support (with support from quality improvement expert) and Self-Guided (using only online materials). Outcomes were clinic-level BP control (