Article Figures & Data
Tables
- Table 1.
Characteristics of Patients in Groups with Different Degrees of Hypertension Care Satisfaction
Hypertension Care Quality Rating Groups Characteristics Total 9 to 10 6 to 8 0 to 5 P value† N (%) 1697 482 (28.4) 809 (47.7) 406 (23.9) Age, mean 61.7 62.5 62.2 59.8 .007 Sex, % .005 Female 54.5 60.6 51.3 53.7 Male 45.5 39.4 48.7 46.3 Race/ethnicity, % .007 Non-Hispanic White 68.5 72.8 69.3 61.6 Non-Hispanic Black 16.1 12.2 15.8 21.4 Non-Hispanic Other 12.8 13.1 12.1 14.0 Hispanic any race 2.5 1.9 2.7 3.0 Education, % .02 High school or less 33.3 31.7 31.6 38.6 Technical school or some college 35.6 35.5 35.1 36.9 College grad or more 31.1 32.8 33.3 24.5 Employment, % .003 Employed 42.0 39.0 43.7 41.8 Retired 40.8 44.5 41.3 35.3 Other 17.2 16.5 14.9 22.8 Income, % <.001 <$20,000 20.6 16.7 18.4 29.8 $20,000-$49,999 30.0 28.7 31.4 28.7 $50,000-$99,999 31.9 36.8 31.6 26.6 >$100,000 17.5 17.9 18.6 14.9 Diabetes, % .37 No 75.0 77.2 74.7 73.1 Yes 25.0 22.8 25.3 26.8 Cardiovascular disease, % .69 No 81.7 80.9 82.6 81.0 Yes 18.3 19.1 17.4 19.0 Health status, % <.0001 Excellent/Very good 26.8 39.8 26.6 11.8 Good 46.4 42.1 51.1 42.1 Fair/Poor 26.8 18.1 22.3 46.1 Index systolic blood pressure, mean 164.1 163.2 164.2 165.1 .22 Index diastolic blood pressure, mean 92.8 91.9 92.4 94.6 .02 ↵† Based on results from Chi-square, Fishers exact test.
- Table 2.
Proportion of Patients in Each Hypertension Care Satisfaction Group Who Reported Receiving Patient-Centered Care “Most of the Time” or “Almost Always” Over the Past 6 Months
Hypertension Care Satisfaction Total (%) 9 to 10 (%) 6 to 8 (%) 0 to 5 (%) Asked for your ideas when you and your healthcare team made a treatment plan 47.9 65.0 45.7** 32.4*** Given choices about treatment to think about 50.0 67.5 48.1*** 32.9*** Asked to talk about any problems with your medicines or their effects 61.9 76.7 62.0*** 43.7*** Asked to talk about your goals in caring for your blood pressure 49.4 66.9 47.0*** 33.6*** Satisfied that all the people involved in your care were “on the same page” 74.9 93.2 75.1*** 52.9*** Number of patient-centered items rated “Most” or “Almost Always” (0 to 5) 2.8 3.6 2.7*** 1.9*** - Table 3.
Proportion of Patients in Each Hypertension Care Satisfaction Group Who Reported Being “Extremely” or “Very Confident” in Self-Care Over the Past 6 Months
How Confident Are You That You Can: Total (%) Hypertension Care Quality 9 to 10 (%) 6 to 8 (%) 0 to 5 (%) Contact your health care team from home when you have a question or concern? 71.4 86.0 72.2*** 52.2*** Include measuring your blood pressure at home in your weekly routine? 58.5 69.8 57.7*** 46.8*** Know your blood pressure target numbers? 65.9 76.3 67.9** 49.2*** Keep your blood pressure below your target number? 25.5 36.4 23.9*** 15.3*** Include taking blood pressure medicine in your daily routine? 83.8 90.8 85.0** 73.0*** Number of confidence items ranked “Extremely” or “Very Confident” (0 to 5) 2.9 3.4 2.9** 2.2*** - Table 4.
Proportion of Patients in Each Hypertension Care Satisfaction Group Who Reported Side Effects as a “Big” or “Very Big” Problem Over the Past 6 Months
Hypertension Care Quality Total(%) 9 to 10(%) 6 to 8(%) 0 to 5(%) Tiredness 17.9 15.3 15.3 26.7 Feeling dizzy, lightheaded, or faint† 7.3 5.6 6.3 11.4** Swelling of feet and legs† 9.6 5.8 8.7 15.9*** Coughing† 7.0 3.4 5.9* 13.8*** Frequent urination† 11.6 8.4 11.7 15.6** Sexual symptoms† 9.1 5.6 9.2 13.2*** Any side effect is a “big” or “very big” problem 36.8 28.8 36.2 47.3 In the past 6 months, have you changed or stopped your blood pressure medicine because of symptoms you think were related to your blood pressure medicine? (% Yes) 22.1 18.4 21.3 28.1** How satisfied are you with the blood pressure medicine you've taken in the past 5 months? (% “Very”/“Somewhat satisfied”) 53.8 70.0 53.3*** 34.1*** - Table 5.
Proportion of Patients in Each Hypertension Care Satisfaction Group Who Reported Treatment Burden as a “Big” or “Very Big” Problem
Hypertension Care Quality Considering Everything You Have to Do to Take Care of Your Blood Pressure, How Much of a Problem are Each of The Following: Total(%) 9 to 10(%) 6 to 8(%) 0 to 5(%) Measuring your blood pressure: frequency, time spent, or inconvenience† 5.1 3.0 4.3 9.3** Clinic visits: frequency or time spent for these visits† 4.9 3.2 4.2 8.5** Phone visits: frequency or time spent for these calls‡ 2.5 0.3 2.2 5.4** Scheduling clinic visits, phone visits, or other appointments and reorganizing your schedule around these† 3.5 1.6 2.6 7.5*** Time away from work or your normal routine for activities related to your blood pressure care† 3.8 0.7 3.5* 7.9*** Any treatment is a “Big” or “Very Big” problem§ 10.4 5.4 10.0* 17.0** ↵* P < .05,
↵** P < .01,
↵*** P < .001 comparing treatment burden among patients in the 6-8 or the 0-5 care quality group to treatment burden in the 9-10 care quality group.
↵† Adjusted for age, sex, race, and ethnicity.
↵‡ Model is unadjusted.
↵§ Adjusted for age, sex, race, ethnicity, patient-centered care, self-efficacy, and side effect composites.
