An Overview on the Role of Family Physicians in Diagnosis and Management of Hypertension

Alharbi, Abdulrahman Abdulsalam; Altalhi, Saud Muhaisin; Shurrab, Mahmoud Emadfahmi; Alsaigh, Sohaib Ibrahim; Babkair, Omar Saeed; Aljohani, Haitham Mohammed; Bohairi, Mohnad Abdullah; Alsubaihi, Abdulrahman Abdullah; Alqarni, Khalid Ahmed; Albaqami, Abdalmohsen Mahdi

doi:10.51847/yhtfscsdy9

Cited by 2 publications

(1 citation statement)

References 17 publications

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“…Evidence suggests that primary care and family physicians effectively detect, evaluate, manage and control hypertension in a primary care setting, preventing unnecessary spillover of patients to the few tertiary hospitals. [ 41 42 ] The role of primary care health providers, especially family physicians, becomes apparent since they are often the first point of contact. The management of hypertension requires regular follow-ups, and family physicians are best positioned as they cultivate long-term relationships with patients.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and determinants of hypertension among urban tribal communities in Nagaland, India—A community-based study

Ramesh

Sanglir

Zacharia

et al. 2023

Journal of Family Medicine and Primary Care

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A BSTRACT Background: There is a paucity of data on the burden and factors associated with hypertension among the Nagas (collective term for tribal ethnic groups predominantly residing in Nagaland) living in an urban environment. Insights from this study will aid in mapping focused community-based and primary care interventions for hypertension. Objectives: To determine the prevalence and risk factors associated with hypertension among Nagas aged 30–50 years residing in urban Dimapur, Nagaland. Methods: A community-based cross-sectional study was conducted between January and July 2019. This study screened 660 participants for hypertension using a digital blood pressure apparatus. A semi-structured questionnaire was used to assess the risk factors, and anthropometric measurements were recorded using standard guidelines. Results: The prevalence of hypertension and pre-hypertension was 25.9% and 44.5%, respectively. Non-modifiable risk factors such as male gender (adjusted odds ratio [AOR]: 2.02; 95% confidence interval [CI]: 1.32–3.09), age > 40 years (AOR: 2.32; 95% CI: 1.57–3.41), family history of hypertension (AOR, 1.87, 95% CI: 1.19–2.92) and modifiable risk factors such as current alcohol consumption (AOR: 2.05; 95% CI: 1.27–3.31), high/very high perceived stress (AOR: 2.15; 95% CI: 1.28–3.62), lack of participation in stress relief activities (AOR: 2.08; 95% CI: 1.17–3.71) and overweight/obesity (AOR: 2.26; 95% CI: 1.55–3.30) were independently associated with hypertension in this study. Conclusion: To avert an impending health crisis in this community, a multipronged approach involving primary-care/family physicians, culturally appropriate awareness, and targeted community-based screening programs with an adept referral system must be implemented to curtail this emerging threat.

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Section: Discussionmentioning

confidence: 99%

Prevalence and determinants of hypertension among urban tribal communities in Nagaland, India—A community-based study

Ramesh

Sanglir

Zacharia

et al. 2023

Journal of Family Medicine and Primary Care

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Stakeholder Analysis for Hypertension Management in the Context of the Indian Public Health System

Ghosh,

Karthikeyan,

Das

et al. 2023

Indian Journal of Public Health

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Background: Hypertension (HTN) portends a significant public health burden in India and calls for multi-stakeholder action. Objectives: We aimed to analyze the role of key stakeholder constituencies implicated in managing HTN across different levels of care within the public health system in India, alongside the enablers and barriers for effective program implementation. Methods: We reviewed 45 articles and policy documents, and 17 consenting stakeholder representatives scored the stakeholder constituencies for “power,” “position” and “interest.” They ranked enablers and barriers to noncommunicable disease programs in each of the six building blocks of the WHO Health System Strengthening Framework. Data were analyzed on Jamovi 2.2.2. Results: Policymakers/program managers emerged as the most critical stakeholder in influencing policy implementation (score for power: 23.3 ± 8.5, position: 25.4 ± 6.9, and interest: 22.1 ± 8.3). Beneficiaries ranked lowest (power: 10 ± 5.1, position: 12.3 ± 4.5, and interest: 19.4 ± 4.2). Effective “on-ground” implementation (“service delivery”) was the most important enabler (17.9 ± 3.3) as well as a barrier (17.6 ± 9.2). The health workforce (19.2 ± 4.8) emerged as a top barrier. Conclusion: To bring around impactful efficiency in the health system, provider-side interventions, especially those at the point of delivery, emerged as the need of the hour. Policymakers and program managers could lead using a top-down leadership and Governance Approach, focusing on deploying an adequately trained and motivated health workforce to deliver HTN services. For ensuring better performance of the health system for HTN care, the health workforce/seemed to be the “obligatory pivot.” Health-care providers could serve as the “point of convergence” of efforts made by all the stakeholder constituencies.

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An Overview on the Role of Family Physicians in Diagnosis and Management of Hypertension

Cited by 2 publications

References 17 publications

Prevalence and determinants of hypertension among urban tribal communities in Nagaland, India—A community-based study

Prevalence and determinants of hypertension among urban tribal communities in Nagaland, India—A community-based study

Stakeholder Analysis for Hypertension Management in the Context of the Indian Public Health System

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