Measuring Quality of Care for Hypertension
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Case Western Reserve University School of Graduate Studies / OhioLINK
2009
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| Online Access: | http://rave.ohiolink.edu/etdc/view?acc_num=case1231883022 |
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ndltd-OhioLink-oai-etd.ohiolink.edu-case12318830222021-08-03T05:32:55Z Measuring Quality of Care for Hypertension Hebert, Christopher J. Health Care hypertension quality <p>A Comparison of the Validity of Quality Indicators for HypertensionAbstract byChristopher J. Hebert, MD</p><p>Background: The most commonly used quality measure for hypertension implies that measurement of quality is a question with a binary response. The Health Plan Employer Data and Information Set (HEDIS) measure indicating whether or not the most recent office blood pressure (BP) is less than 140/90 mmHg does not reflect the true relationship between BP and risk of cardiovascular events. Since the true relationship is continuous, a continuous quality measure may be preferable.</p><p>Objective: The objective of this study is to present the case for the use of the most recent office systolic BP, reported within quartiles of the baseline value, as a measure of quality of care for hypertension. </p><p>Research methods: Data from the Multiple Risk Factor Intervention Trial is used to demonstrate the advantages of the proposed measure. </p><p>Results: The standard binary measure incorrectly labels those patients with higher baseline BP as having received lower quality of care. Use of systolic BP expressed as a continuous measure accurately differentiates higher from lower quality. </p><p>Conclusions: Systolic BP expressed as a continuous measure and stratified by baseline value may have benefits over the standard binary measure.</p> 2009-01-13 English text Case Western Reserve University School of Graduate Studies / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=case1231883022 http://rave.ohiolink.edu/etdc/view?acc_num=case1231883022 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws. |
| collection |
NDLTD |
| language |
English |
| sources |
NDLTD |
| topic |
Health Care hypertension quality |
| spellingShingle |
Health Care hypertension quality Hebert, Christopher J. Measuring Quality of Care for Hypertension |
| author |
Hebert, Christopher J. |
| author_facet |
Hebert, Christopher J. |
| author_sort |
Hebert, Christopher J. |
| title |
Measuring Quality of Care for Hypertension |
| title_short |
Measuring Quality of Care for Hypertension |
| title_full |
Measuring Quality of Care for Hypertension |
| title_fullStr |
Measuring Quality of Care for Hypertension |
| title_full_unstemmed |
Measuring Quality of Care for Hypertension |
| title_sort |
measuring quality of care for hypertension |
| publisher |
Case Western Reserve University School of Graduate Studies / OhioLINK |
| publishDate |
2009 |
| url |
http://rave.ohiolink.edu/etdc/view?acc_num=case1231883022 |
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AT hebertchristopherj measuringqualityofcareforhypertension |
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