Continuity of care in hypertension. An important correlate of blood pressure control among aware hypertensives

Arch Intern Med. 1988 Mar;148(3):525-8. doi: 10.1001/archinte.148.3.525.


Hypertensive patients frequently discontinue follow-up care. In a population-based survey of 4688 adults, we examined the impact of nonattendance on blood pressure control in aware hypertensives. Nonattendance was defined as a failure to visit a physician for hypertensive care within a six-month interval and was reported by 29% of 907 aware hypertensives. Nonattenders had a higher prevalence of diastolic blood pressure above 90 mm Hg (67% vs 30% for attenders). The nonattender profile was male, young, active in the work force, and without coexisting chronic diseases. Poor blood pressure control among nonattenders was associated with a lower treatment rate. Uncontrolled diastolic hypertension and less adherence to medications in nonattenders warrants concern by clinicians.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Blood Pressure
  • Continuity of Patient Care*
  • Female
  • Humans
  • Hypertension / physiopathology
  • Hypertension / therapy*
  • Life Style
  • Male
  • Middle Aged
  • Occupations
  • Patient Compliance*
  • Primary Health Care*
  • Sex Factors