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01.03.2011

Evaluation of a self-management implementation intervention to improve hypertension control among patients in Medicaid

verfasst von: Hayden B Bosworth, PhD, C Annette DuBard, MD, MPH, Jill Ruppenkamp, MS, Troy Trygstad, PharmD, PhD, Denis Levis Hewson, RN, BSN, MSPH, George L Jackson, PhD, MHA

Erschienen in: Translational Behavioral Medicine | Ausgabe 1/2011

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Abstract

Elevated blood pressure can lead to serious patient morbidity and mortality. The aim of the study was to evaluate the implementation of a tailored multifaceted program, administered by care managers in a Medicaid setting to improve hypertension medication adherence. The program enrolled 558 Medicaid patients. Patients had at least one phone call by care managers. The individually tailored program focused on improving lifestyle and medication adherence. The primary outcome was the medication possession ratio (MPR), calculated using fill history from pharmacy claims. We observed an improvement of medication possession from 55% 9–12 months prior to program enrollment to 77% 9–12 months post initiation of the program. We demonstrated 12 month sustainability and increased MPR. Personal interaction by phone allows the intervention to be tailored to participants’ current concerns, health goals, and specific barriers to achieving these goals.

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Titel: Evaluation of a self-management implementation intervention to improve hypertension control among patients in Medicaid
verfasst von: Hayden B Bosworth, PhD
C Annette DuBard, MD, MPH
Jill Ruppenkamp, MS
Troy Trygstad, PharmD, PhD
Denis Levis Hewson, RN, BSN, MSPH
George L Jackson, PhD, MHA
Publikationsdatum: 01.03.2011
Verlag: Springer-Verlag
Erschienen in: Translational Behavioral Medicine / Ausgabe 1/2011
Print ISSN: 1869-6716
Elektronische ISSN: 1613-9860
DOI: https://doi.org/10.1007/s13142-010-0007-x

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Evaluation of a self-management implementation intervention to improve hypertension control among patients in Medicaid

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