Management of the Elderly Hypertensive in Four Practice Settings

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Abstract
In the survey reported in the previous papers, a special study was made among the elderly population of hypertension by means of chart reviews in addition to specific sections on this disease in provider and recipient questionnaires. Using a diastolic pressure of 100 mm Hg and over as an indication of lack of control of blood pressure, 76% of the hypertensives were shown to have controlled pressure after a minimum of 6 mo. of care, with the tendency being toward control from noncontrol and with the black inner city group practice having the greater degree of change from noncontrol to control. Patients least educated and least satisfied with care tended to experience less favorable changes in diastolic pressures and specific setting appeared to make a difference in control. A major single provider as opposed to several providers did not affect control and there appeared to be limited use of the newer types of drugs; 23% of patients with uncontrolled blood pressures were not on any drug.

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