BP Control

Hla, Khin Mae

doi:10.1001/archinte.1983.00350050078015

Cited by 5 publications

(2 citation statements)

References 17 publications

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“…The percentage of respondents who felt the PA could handle specific problems declined depending on the complexity of the problem.Smith 1981[26]US—Iowa1979Sixteen question survey of patients following visit with PA. N = 196 completedSite: Multi-specialty clinicPAs: 4Q: Are patients satisfied with care provided by a PA?In total, 92% always or usually satisfied with care by the medical team, 78% usually or always satisfied with team approach. Patients are almost always willing to be seen by the PA if they know the physician is supervising the PA.Hla 1983[27]US—North CarolinaNSPatients interviewed by a nurse following a visit to the clinic where a PA was seen. N = 191 patients.Site: General outpatient clinic, hypertension patients.PAs: 1Q: Are patients satisfied with care provided by a PA on a medical team?Compared 191 patient visits with PA management and 200 without PA management of blood pressure. Similar patient characteristics.…”

Section: Resultsmentioning

confidence: 99%

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Patient satisfaction with physician assistant/associate care: an international scoping review

Hooker¹,

Moloney-Johns

McFarland

2019

Hum Resour Health

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BackgroundAs the role of the physician assistant/associate grows globally, one question is: what is the level of patient satisfaction with PAs? Driven by legislative enactments to improve access to care, the PA has emerged as a ready and able medical professional to address workforce shortages. The aim of this study was to review the literature on patient satisfaction of PAs.ObjectivesThe basis for this review was to clarify working definitions, synthesize the evidence, and establish conceptual boundaries around the topic of patient satisfaction with PAs. The intent was to identify gaps in the literature and offer suggested undertakings for more clarification on the subject.MethodsA scoping review was undertaken. Literature from 1968 to 2019 was searched and filtered for eligibility. Those that met criteria were categorized by date, method, geography, themes, and design.ResultsIn total, there were 987 papers or reports that were identified through bibliography database searching. Additional articles found through snowball methodology-reviewing references (n = 11). Only English language articles emerged for analysis. From this effort, 25 articles surfaced from the filtering process for final inclusion. Most (72%) of the articles came from the United States of America, three from the United Kingdom, and one each from Ireland, the Netherlands, and New Zealand. Most articles were descriptive in nature. Some variations in methods emerged.ConclusionPAs are operational in 15 nations; their acceptance appears successful and satisfaction with their care largely indistinguishable from physicians. Findings from this analysis highlight one theory that when patient’s needs are met, satisfaction is high regardless of the medical provider. Areas for further research are identified.

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Section: Resultsmentioning

confidence: 99%

“…Early demonstration projects viewed PAs more as doctors’ assistants while contemporary PAs are seen as medical professionals similar to doctors. This is reflected in the studies done by Litman [18], Nelson [20], and Hla [27]. The European studies assumed the PA was filling an otherwise deemed physician role [15, 35].…”

Section: Discussionmentioning

confidence: 99%

Patient satisfaction with physician assistant/associate care: an international scoping review

Hooker¹,

Moloney-Johns

McFarland

2019

Hum Resour Health

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Myth: Physician assistants should replace nephrologists in dialysis units

Brunson¹

2002

Myths and Shibboleths in Nephrology

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Design and rationale for Home Blood Pressure Telemonitoring and Case Management to Control Hypertension (HyperLink): A cluster randomized trial

Margolis¹,

Kerby²,

Asche³

et al. 2012

Contemporary Clinical Trials

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Background Patients with high blood pressure (BP) visit a physician an average of 4 times or more per year in the U.S., yet BP is controlled in fewer than half. Practical, robust and sustainable models are needed to improve BP in patients with uncontrolled hypertension. Objectives The Home Blood Pressure Telemonitoring and Case Management to Control Hypertension study (HyperLink) is a clinic-randomized trial designed to determine whether an intervention that combines home BP telemonitoring with pharmacist case management improves BP control compared to usual care at 6 and 12 months in patients with uncontrolled hypertension. Secondary outcomes are maintenance of BP control at 18 months, patient satisfaction with their health care, and costs of care. Methods HyperLink enrolled 450 hypertensive patients with uncontrolled BP from 16 primary care clinics. Eight clinics were randomized to provide usual care (UC) to their patients (n = 222) and 8 were randomized to provide the telemonitoring intervention (TI) (n = 228). TI patients received home BP telemonitors that internally store and electronically transmit BP data to a secure database. Pharmacist case managers adjust antihypertensive therapy based on the home BP data under a collaborative practice agreement with the clinics’ primary care teams. The length of the intervention is 12 months, with follow-up to 18 months to determine the durability of the intervention. Conclusions We will test in a real primary care setting whether combining BP telemonitoring and pharmacist case management can achieve and maintain high rates of BP control compared to usual care.

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BP Control

Cited by 5 publications

References 17 publications

Patient satisfaction with physician assistant/associate care: an international scoping review

Patient satisfaction with physician assistant/associate care: an international scoping review

Myth: Physician assistants should replace nephrologists in dialysis units

Design and rationale for Home Blood Pressure Telemonitoring and Case Management to Control Hypertension (HyperLink): A cluster randomized trial

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