Search All Research Studies
AHRQ Research Studies Date
AHRQ Research Studies
Sign up: AHRQ Research Studies Email updates
Research Studies is a monthly compilation of research articles funded by AHRQ or authored by AHRQ researchers and recently published in journals or newsletters.
Results1 to 6 of 6 Research Studies Displayed
Walton SM, Rash C, Lambert BL
A case study in generic drug use: should there be risk adjustment in incentive payments for the use of generic medications?
This study aimed to (a) define and measure the maximum generic rate (MGR) of currently prescribed drugs within an academic medical group and (b) illustrate differences across drugs associated with selected underlying diseases. It found that the MGR ranged from 100 percent for drugs used in hypertension to 26.7 percent for drugs used in obstructive lung diseases.
Citation: Walton SM, Rash C, Lambert BL . A case study in generic drug use: should there be risk adjustment in incentive payments for the use of generic medications? J Manag Care Spec Pharm 2014 Nov;20(11):1093-9..
Keywords: Medication, Practice Patterns, Hypertension, Respiratory Conditions
Cea Soriano L, Bateman BT, Garcia Rodriguez LA
Prescription of antihypertensive medications during pregnancy in the UK.
The authors aimed to describe the management of antihypertensive medications in pregnancy by general practitioners in the UK and compare it with current guidelines. Using electronic medical records from The Health Improvement Network database, they found that, in this population of UK pregnant women, prescription patterns of antihypertensive medications were dominated by recommended treatments, although some patients continued on contraindicated drugs throughout pregnancy or switched to preferred agents in a delayed fashion.
Citation: Cea Soriano L, Bateman BT, Garcia Rodriguez LA . Prescription of antihypertensive medications during pregnancy in the UK. Pharmacoepidemiol Drug Saf 2014 Oct;23(10):1051-8. doi: 10.1002/pds.3641.
Keywords: Adverse Drug Events (ADE), Hypertension, Medication, Pregnancy, Practice Patterns
Benkert R, Dennehy P, White J
Diabetes and hypertension quality measurement in four safety-net sites: lessons learned after implementation of the same commercial electronic health record.
The authors described what implementation of a commercially available EHR with built-in quality query algorithms showed us about our care for diabetes and hypertension populations in four safety net clinics. They found that utilizing a shared EHR, a Regional Extension Center-like partnership model, and similar quality query algorithms allowed safety-net clinics to benchmark and improve the quality of care across differing patient populations and health care delivery models.
Citation: Benkert R, Dennehy P, White J . Diabetes and hypertension quality measurement in four safety-net sites: lessons learned after implementation of the same commercial electronic health record. Appl Clin Inform 2014 Aug 20;5(3):757-72. doi: 10.4338/aci-2014-03-ra-0019.
Keywords: Diabetes, Electronic Health Records (EHRs), Hypertension, Quality Measures, Safety Net
Bernard DM, Johansson P, Fang Z
AHRQ Author: Bernard DM
Out-of-pocket healthcare expenditure burdens among nonelderly adults with hypertension.
The investigators examined the prevalence of high out-of-pocket burdens and self-perceived financial barriers to care among patients receiving hypertension treatment. They found that the prevalence of high total burdens was significantly greater for persons receiving treatment for hypertension compared with other chronically ill and well patients. Among hypertension patients with high total burdens, 15.7% said they were unable to get care and 13.6% said they delayed care due to financial reasons.
Citation: Bernard DM, Johansson P, Fang Z . Out-of-pocket healthcare expenditure burdens among nonelderly adults with hypertension. Am J Manag Care 2014 May;20(5):406-13.
Keywords: Healthcare Costs, Health Insurance, Hypertension, Medical Expenditure Panel Survey (MEPS)
Liss DT, Fishman PA, Rutter CM
Specialty use among patients with treated hypertension in a patient-centered medical home.
The researchers described changes in outpatient specialty use among patients with treated hypertension during and after patient-centered medical home (PCMH) practice transformation. Their results suggest that more comprehensive primary care in this PCMH redesign enabled primary care teams to deliver more hypertension care, and that many needs of low morbidity patients were within the scope of primary care practice.
Citation: Liss DT, Fishman PA, Rutter CM . Specialty use among patients with treated hypertension in a patient-centered medical home. J Gen Intern Med 2014 May;29(5):732-40. doi: 10.1007/s11606-014-2776-2..
Keywords: Patient-Centered Healthcare, Primary Care, Hypertension
Navar-Boggan AM, Fanaroff A, Swaminathan A
The impact of a measurement and feedback intervention on blood pressure control in ambulatory cardiology practice.
This study evaluated the impact of a targeted provider feedback intervention on rates of blood pressure control. Providers received quarterly provider-specific reports over a period of one year for a group of 300 patients treated in outpatient cardiology clinic practices. These reports as a stand-alone intervention did not affect overall BP control rates in cardiology clinics.
Citation: Navar-Boggan AM, Fanaroff A, Swaminathan A . The impact of a measurement and feedback intervention on blood pressure control in ambulatory cardiology practice. Am Heart J. 2014 Apr;167(4):466-71. doi: 10.1016/j.ahj.2013.12.015..
Keywords: Hypertension, Blood Pressure, Comparative Effectiveness, Quality of Care