Effect of family doctor relationship on blood pressure control in hypertensive patients
DOI:
https://doi.org/10.5712/rbmfc12(39)1444Keywords:
Hypertension/prevention & control. Physician-Patient Relations. Medication Adherence.Abstract
Objective: To evaluate the relation between a family doctor-patient relationship and blood pressure control in hypertensive patients from two health units in Porto Alegre, Rio Grande do Sul. Methods: A cross-sectional study with a random sample of 128 hypertensive 18 years of age and older patients from two health units, in which a questionnaire was applied to evaluate their characteristics and the presence or absence of a link with a family doctor, while blood pressure, weight and height were measured between March and September 2016. Poisson regression was performed to control possible confounding factors between family doctor-patient relationship and blood pressure control. Results: The population studied was monitored by the health units during 15 years on average and was predominantly elderly, female, white, overweight, non-smoker, sedentary, adherent to treatment, while 68.0% had a relationship with a family doctor and 61.7% had controlled blood pressure. The presence of a relationship with a doctor was associated with a blood pressure control 48% higher, controlled for possible confounding factors. Conclusion: Doctor-patient relationship is a low cost tool in medical practice that allows better blood pressure control in hypertensive patients – a control which is important in reducing cardiovascular complications.
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