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AJPH First Look, published online ahead of print Oct 27, 2005
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AJPH.2004.046177v1
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American Journal of Public Health, 10.2105/AJPH.2004.046177

Research and Practice

Physician-Patient Racial Concordance, Continuity of Care, and Patterns of Care for Hypertension

Thomas R Konrad 1*, Daniel L Howard 2, Lloyd J Edwards 3, Anastasia Ivanova 3, Timothy S Carey 1

1 Cecil G. Sheps Center, Univ No Carolina at Chapel Hill
2 Office of Sponsored Programs, Shaw University
3 Dept Biostatistics, UNC School of Public Health

* To whom correspondence should be addressed. E-mail: bob_konrad{at}unc.edu.


  Abstract

To assess the effects of physician-patient racial concordance and continuity of care on hypertension outcomes, we described patterns of care for hypertension; we used cross-tabulations and repeated measures (generalized estimating equations) analyses with panel survey data from elderly persons interviewed and examined in 1987 and 1990. Continuity of care was associated with recognition of hypertension, receipt of medication, and lower incidence of undetected hypertension. Physician race had little effect, but continuity is important for successful management of hypertension in older persons.

Key Words: Aging, Cardiovascular Disease, Health Professionals, Quality of Care, African Americans/Blacks, Surveys




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D. L. Howard, A. P. Carson, D. N. Holmes, and J. S. Kaufman
Consistency of Care and Blood Pressure Control among Elderly African Americans and Whites with Hypertension
J Am Board Fam Med, May 1, 2009; 22(3): 307 - 315.
[Abstract] [Full Text] [PDF]


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