ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2023
Team-based continuity of care for patients with hypertension: a retrospective primary care cohort study in Hong Kong.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Primary care provider's barriers to effective management of apparently resistant hypertension in Malaysian public primary health care and strategies to overcome them: a qualitative study.BMC primary care · 2026Article
- The practice of family pharmacists in managing polypharmacy for home-based elderly patients.Journal of family medicine and primary care · 2026Article
- Continuity of care for people with hypertension in primary health care: a scoping review.Revista da Escola de Enfermagem da U S P · 2026Article
- Improving access, mixed continuity: effects of multidisciplinary teams on primary health-care in Finland - a quasi-experimental study.Scandinavian journal of primary health care · 2025Article
- Diabetes management at the grass-root level without gatekeeping: exploring the association between primary care seeking and health outcomes.BMC primary care · 2025Article
- Pathways to Hypertension Control: Unfinished Journeys of Low-Income Individuals in Malaysia and the Philippines.The International journal of health planning and management · 2025Observational
- Continuity and breaches in GP care and their associations with mortality for patients with chronic disease: an observational study using Norwegian registry data.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Observational
- The Relationship Between Continuity of Care and Enhancement of Clinical Outcomes Among Patients with Chronic Conditions.Patient preference and adherence · 2024Article
- Inequities in hypertension: we can do better ... but how?The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
- Establishing Continuity of Care Through a Team-Based Care Approach: Implementation Challenges.Journal of primary care & community healthArticle
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7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundContinuity of care (COC) is associated with improved health outcomes in patients with hypertension. Team-based COC allows more flexibility in service delivery but there is a lack of research on its effectiveness for patients with hypertension.
aimTo investigate the effectiveness of team-based COC on the prevention of cardiovascular disease (CVD) and mortality in patients with hypertension. DESIGN AND
settingA retrospective cohort study in a primary care setting in Hong Kong.
methodEligible patients included those visiting public primary care clinics in Hong Kong from 2008 to 2018. The usual provider continuity index (UPCI) was used to measure the COC provided by the most visited physician team. Cox regression and restricted cubic splines were applied to model the association between the COC and the risk for CVDs and all-cause mortality.
resultsThis study included 421 640 eligible patients. Compared with participants in the lowest quartile of UPCI, the hazard ratios for overall CVD were 0.94 (95% CI = 0.92 to 0.96), 0.91(95% CI = 0.89 to 0.93), and 0.90 (95% CI = 0.88 to 0.92) in the second, third, and fourth quartiles, respectively. A greater effect size on CVD risk reduction was observed among the patients with unsatisfactory blood pressure control, patients aged <65 years, and those with a Charlson comorbidity index of <4 at baseline (
conclusionTeam-based COC via a coordinated physician team was associated with reduced risks of CVD and all-cause mortality among patients with hypertension, especially for the patients with unsatisfactory blood pressure control. Early initiation of team-based COC may also achieve extra benefits.
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