Taking AIM at a Moving Target: The Challenge of Improving on High-Performance Care
In the last half century, the challenge for clinicians in many areas of medicine has evolved from reaction to prevention to, most recently, population management. In hypertension, that evolution has meant a gradual broadening of responsibilities from treating the complications of hypertension to controlling blood pressure in individual patients over time, and now to controlling hypertension in an overall population, particularly in high-risk groups such as patients with diabetes. Disease management programs are now increasingly used to improve the reliability with which patients receive optimal care. These programs are often well-conceived and executed. But experience is teaching us that even well-designed programs are surprisingly like medications - they may not work even when logic suggests that they should, and they may work differently, or may not work at all, in various patient populations. (SELECT FULL TEXT TO CONTINUE)
- Received April 30, 2012.
- Accepted May 1, 2012.
- Copyright © 2012, American Heart Association, Inc. All rights reserved. Unauthorized use prohibited