Implementation of the Chronic Care Model to Reduce Disparities in Hypertension Control: Benefits Take Time

Abstract

After adopting the CCM for primarily Hispanic patients with DM, SBP control increased significantly despite treatment with fewer HTN drugs. Yet improvement took 3-4 years, suggesting that financial rewards for using the CCM to achieve improved clinical outcomes for low-income, minority patients may be delayed.

Chronic Care Model Based Nursing Interventions Improve Hypertension Patient’s Medication Compliance by Preventing Patients Forget and Fear

“…Non-adherence to medication was happen because patient never have a fixed schedule and there were no information of check-up conveyed to the patients on regular basis. Non-adherence caused by forgetting take medication is frequently mentioned on studies [7], [11], [13]. Patient forgetfulness was classified into two categories, unintentional non-adherence and intentional adherence.…”

“…Meanwhile, to determine the control and treatment groups, used simple random sampling [22] [23]. The variables in this study were: Nursing Intervention based on Chronic care model (CCM) and medication adherence to hypertension patients [11][24] [25]. Analysis of research data begins with the homogeneity test.…”

“…Other form of afraid was mentioned that they afraid by the side effect of the drug. They added that they have already took too many drugs since they were diagnosed Hypertension [11] [7]. Other respondents reported that they feel that working is more important than following the treatment regiments.…”

“…The CCM is reported significantly reduced the disparities of care for Hispanic patient which is used to be marginalized on the health care system. The outcome of integrating CCM into health care system successfully control the hypertension patient health profile and control the baseline of systolic blood pressure on the level of 153.8 on average [11][5] [12].. Different study reported CCM increase the patient quality of life.…”

Improving Quality Improvement Capacity and Clinical Performance in Small Primary Care Practices

“…34 Existing literature suggests that team-based multicomponent efforts are required to improve BP control clinical performance measures and include engaging staff in proper measurement, intensifying medication therapy by clinicians, and supporting patients around medication adherence and self-management. 35,36 The measure of QI capacity used in this study accounted for many if not most of these BP improvement activities, including support for patients in self-management activities. Another possible explanation is that practices built their QI capacity by focusing on BP control.…”