Agile implementation for hypertension control in primary care
Abstract Background Hypertension is a leading cause of morbidity and mortality, affecting 48% of US adults, with nearly three quarters of them remaining uncontrolled. Despite evidence-based guidelines for the management of hypertension, gaps persist in their clinical application. The aim of this stu...
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| Format: | Article |
| Language: | English |
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BMC
2025-07-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-025-12941-0 |
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| author | Diana Summanwar Paul T. Mingo Tanya K. D. Wilson Celia Menke Andrew Van Velsor Malaz Boustani |
| author_facet | Diana Summanwar Paul T. Mingo Tanya K. D. Wilson Celia Menke Andrew Van Velsor Malaz Boustani |
| author_sort | Diana Summanwar |
| collection | DOAJ |
| description | Abstract Background Hypertension is a leading cause of morbidity and mortality, affecting 48% of US adults, with nearly three quarters of them remaining uncontrolled. Despite evidence-based guidelines for the management of hypertension, gaps persist in their clinical application. The aim of this study was to improve blood pressure control rates among nonpregnant adult patients in primary care. Methods We applied the Agile Implementation process to address barriers to guideline implementation. Using an iterative quality improvement approach, we implemented the AI process in a clinic serving minority and underserved populations from January 2023 to December 2023. Results The AI process increased hypertension control rates from 43 to 58%, using a target blood pressure below 140/90 mmHg. Conclusions The AI process effectively improved hypertension control rates in an underserved primary care setting, offering a scalable approach for enhancing outcomes in similar populations. |
| format | Article |
| id | doaj-art-e84c8bbac2ce4d93977a33b1d56fabdb |
| institution | Kabale University |
| issn | 1472-6963 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-e84c8bbac2ce4d93977a33b1d56fabdb2025-08-20T03:37:20ZengBMCBMC Health Services Research1472-69632025-07-012511610.1186/s12913-025-12941-0Agile implementation for hypertension control in primary careDiana Summanwar0Paul T. Mingo1Tanya K. D. Wilson2Celia Menke3Andrew Van Velsor4Malaz Boustani5Department of Family Medicine, Indiana University School of MedicineDepartment of Family Medicine, Indiana University School of MedicineDepartment of Family Medicine, Indiana University School of MedicineDepartment of Family Medicine, Indiana University School of MedicineDepartment of Family Medicine, Indiana University School of MedicineDepartment of Medicine, Indiana University School of MedicineAbstract Background Hypertension is a leading cause of morbidity and mortality, affecting 48% of US adults, with nearly three quarters of them remaining uncontrolled. Despite evidence-based guidelines for the management of hypertension, gaps persist in their clinical application. The aim of this study was to improve blood pressure control rates among nonpregnant adult patients in primary care. Methods We applied the Agile Implementation process to address barriers to guideline implementation. Using an iterative quality improvement approach, we implemented the AI process in a clinic serving minority and underserved populations from January 2023 to December 2023. Results The AI process increased hypertension control rates from 43 to 58%, using a target blood pressure below 140/90 mmHg. Conclusions The AI process effectively improved hypertension control rates in an underserved primary care setting, offering a scalable approach for enhancing outcomes in similar populations.https://doi.org/10.1186/s12913-025-12941-0HypertensionPrimary careAgileImplementationHealthcare deliveryQuality improvement |
| spellingShingle | Diana Summanwar Paul T. Mingo Tanya K. D. Wilson Celia Menke Andrew Van Velsor Malaz Boustani Agile implementation for hypertension control in primary care BMC Health Services Research Hypertension Primary care Agile Implementation Healthcare delivery Quality improvement |
| title | Agile implementation for hypertension control in primary care |
| title_full | Agile implementation for hypertension control in primary care |
| title_fullStr | Agile implementation for hypertension control in primary care |
| title_full_unstemmed | Agile implementation for hypertension control in primary care |
| title_short | Agile implementation for hypertension control in primary care |
| title_sort | agile implementation for hypertension control in primary care |
| topic | Hypertension Primary care Agile Implementation Healthcare delivery Quality improvement |
| url | https://doi.org/10.1186/s12913-025-12941-0 |
| work_keys_str_mv | AT dianasummanwar agileimplementationforhypertensioncontrolinprimarycare AT paultmingo agileimplementationforhypertensioncontrolinprimarycare AT tanyakdwilson agileimplementationforhypertensioncontrolinprimarycare AT celiamenke agileimplementationforhypertensioncontrolinprimarycare AT andrewvanvelsor agileimplementationforhypertensioncontrolinprimarycare AT malazboustani agileimplementationforhypertensioncontrolinprimarycare |