Lisa A. Cooper|Jill A. Marsteller|Gary Noronha|Sarah Flynn|Kathryn A. Carson|Romsai T. Boonyasai|Cheryl A.M. Anderson|Hanan Aboumatar|Debra Roter|Katherine B. Dietz|Edgar R. Miller|Gregory Prokopowicz|Arlene Dalcin|Jeanne Charleston|Michelle Simmons|Mary Margaret Huizinga
A multi-level system quality improvement intervention to reduce racial disparities in hypertension care and control: study protocol
Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins University|University of Rochester Medical Center|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|University of California, San Diego|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Advisory Board Company (United States)|Vanderbilt University Medical Center
racial disparities blood pressure control well documented united states research suggests many factors contribute disparity including barriers care patient clinician healthcare system community levels date interventions aimed reducing hypertension disparities addressed factors levels paper describes design project red chip reducing disparities controlling hypertension primary care multilevel system quality improvement project intervening multiple levels project aims reduce disparities blood pressure control improve guideline concordant hypertension careusing pragmatic trial design implementing three complementary multilevel interventions designed improve blood pressure measurement provide patient care management services offer expanded provider education resources six primary care clinics baltimore maryland staggering introduction interventions use statistical process control spc charting determine changes outcomes clinic implementation intervention main hypothesis intervention additive effect improvements guideline concordant care reductions hypertension disparities combination three interventions result greatest impact followed blood pressure measurement care management support blood pressure measurement provider education blood pressure measurement study also examines organizational functioning cultural competence affect success interventionsas quality improvement project project red chip employs novel study design specifically targets multilevel factors known contribute hypertension disparities facilitate implementation improve sustainability incorporated stakeholder input tailored components interventions meet specific needs involved clinics communities results study provide knowledge integrated multilevel interventions improve hypertension care reduce disparitiesclinicaltrialsgov nct01566864