Article ; Online: Difficult Hypertension Clinic Utilizing a Nurse Specialist: A Cost-Efficient Model for the Modern Era?
Journal of clinical hypertension (Greenwich, Conn.)
2015 Volume 17, Issue 9, Page(s) 732–736
Abstract: In the modern era in New Zealand, there has been a lack of specialist hypertension clinics where family practitioners might refer patients with difficult-to-treat or resistant hypertension. A new specialist referral hypertension clinic was established in ...
| Abstract | In the modern era in New Zealand, there has been a lack of specialist hypertension clinics where family practitioners might refer patients with difficult-to-treat or resistant hypertension. A new specialist referral hypertension clinic was established in 2009 at North Shore Hospital, Auckland, employing a model of care where much of the follow-up work is done by a nurse specialist. The authors review data from the first 1000 patients discharged from the clinic. Mean (treated) blood pressure improved by -26/12 mm Hg over an average of three visits, two thirds of which were to nurse specialist clinics. The authors propose this as a cost-efficient model that could easily be duplicated in other centers. |
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| MeSH term(s) | Adolescent ; Adult ; Aged ; Aged, 80 and over ; Ambulatory Care Facilities ; Amlodipine/administration & dosage ; Antihypertensive Agents/administration & dosage ; Blood Pressure/drug effects ; Blood Pressure Determination/methods ; Cost-Benefit Analysis ; Female ; Humans ; Hypertension/drug therapy ; Hypertension/economics ; Hypertension/nursing ; Male ; Middle Aged ; Mineralocorticoid Receptor Antagonists/administration & dosage ; New Zealand ; Nurse Practitioners/economics ; Nurse Practitioners/standards ; Spironolactone/administration & dosage ; Young Adult |
| Chemical Substances | Antihypertensive Agents ; Mineralocorticoid Receptor Antagonists ; Amlodipine (1J444QC288) ; Spironolactone (27O7W4T232) |
| Language | English |
| Publishing date | 2015-05-20 |
| Publishing country | United States |
| Document type | Journal Article |
| ZDB-ID | 2077222-1 |
| ISSN | 1751-7176 ; 1524-6175 |
| ISSN (online) | 1751-7176 |
| ISSN | 1524-6175 |
| DOI | 10.1111/jch.12573 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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