BP control. Improvement in a university medical clinic by use of a physician's associate

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Abstract
Many hypertensive patients, especially those in outpatient clinics at large teaching hospitals, do not achieve BP [blood pressure] control. A physician''s associate was incorporated into an existing house staff medical clinic and evaluated whether this improved BP control. In patients with moderate or severe hypertension, BP control was achieved in 56% of patients observed by both the physician''s associate and the house staff and in 32% of patients observed solely by house staff. Possible contributing factors were more frequent follow-up, simplification of drug regimens, reduced waiting time, more time spent with the patients and overall greater satisfaction with the physician''s associate. The addition of a physician''s associate to an outpatient clinic apparently is an effective method for enhancing BP control. This can be achieved without establishing a separate hypertension clinic or depriving house staff of experience in the management of hypertension.

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