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Discussion

Benefits of Care Coordination and Community Resources in Addressing Hypertension

among patient, family, or population

In broader context, it has been argued that the synchronisation of patient care throughout

the healthcare institution and the patient's communities is a key tenant of the patient-centred

medical home (PCMH) approach (Tan et al., 2020). Our healthcare institution gets further

complicated and dispersed as the number of people with chronic illnesses rises. As a result,

coordinated care is becoming highly critical. Decreased hospitalizations, higher chronic illness

monitoring, higher patient engagement, and easier accessibility to specialised care are all major

advantages of care coordination for overall care delivery and costs (Patel et al., 2020).

Nevertheless, there is debate over what defines coordinated care and the most effective

coordination practices.

Personal Perception on Utilisation of Care Coordination and Community Resources in own

Nursing Practice

One health professional suggested during the survey that educational interventions should

concentrate on high-risk groups beyond 40 years of age and those with a parental history of

hypertension. Residential bulletin boards, theatre, radio, and TV programmes were all cited by

health professionals as useful means of spreading health information. From a personal

standpoint, using a care coordination strategy and making adequate use of community resources

to organise awareness campaigns over social networking sites can enhance overall nursing

practise in treating and reducing hypertension.


Despite focusing on individuals with a single condition and the deployment of care

coordinators who are not affiliated with community practises, the majority of research concluded

that care coordination interventions typically had favourable benefits in reducing hypertension

(Hanlin et al., 2018; Jafar et al., 2020; Tan, 2019). Recent research questions the efficacy of

chronic illness monitoring and care coordination initiatives that are distant from patients' general

healthcare providers (Tan et al., 2020).

Barriers to the use of Care Coordination and Community Resources for treating

Hypertension

The extensive review of literature studies demonstrated that the biggest obstacles to blood

pressure management in the population were a lack of awareness of hypertension, the delays in

the start of therapy, and a failure to maintain (Patel et al., 2020). Carelessness and reduced health

knowledge were significant obstacles. One argument is that the criterion for under

treatment omitted those with hypertension who absolutely could not fund the therapy. In addition

to the neglect of checks, people with hypertension frequently struggled from various diseases

that required a more thorough evaluation and discussion than what is accessible in local health

facilities in resource-limited nations (Hanlin et al., 2018). Inadequate interaction as well as a lack

of openness amongst people with hypertension and their healthcare professionals resulted in a

lack of use of available community resources for treating hypertension (Jafar et al., 2020). As a

result, individuals in primary care settings infrequently returned for follow-up care, and

community health centres typically lose record of patients following referral. The ability of

primary healthcare facilities to handle hypertension was not completely operational (Tan, 2019).

Respondents were further prevented from routine exams by the proximity to institutions and
transportation difficulties. Ultimately, these results showed how important it is to support

community-based hypertension awareness initiatives, encourage early intervention, and establish

a successful care coordination as well as downward referral mechanism.


References

Hanlin, R. B., Asif, I. M., Wozniak, G., Sutherland, S. E., Shah, B., Yang, J., ... & Egan, B. M.

(2018). Measure accurately, act rapidly, and partner with patients (MAP) improves

hypertension control in medically underserved patients: Care Coordination Institute and

American Medical Association Hypertension Control Project Pilot Study results. The

Journal of Clinical Hypertension, 20(1), 79-87.

Jafar, T. H., Gandhi, M., De Silva, H. A., Jehan, I., Naheed, A., Finkelstein, E. A., ... & Feng, L.

(2020). A community-based intervention for managing hypertension in rural South Asia.

New England Journal of Medicine, 382(8), 717-726.

Patel, S. A., Sharma, H., Mohan, S., Weber, M. B., Jindal, D., Jarhyan, P., ... & Tandon, N.

(2020). The Integrated Tracking, Referral, and Electronic Decision Support, and Care

Coordination (I-TREC) program: scalable strategies for the management of hypertension

and diabetes within the government healthcare system of India. BMC Health Services

Research, 20(1), 1-12.

Tan, J. (2019). A Qualitative Study of Current Hypertension Care Coordination and Feasibility

of Involving Female Community Health Volunteers (FCHVs) in Hypertension

Management in Kavre District, Nepal (Doctoral dissertation, Duke University).

Tan, J., Xu, H., Fan, Q., Neely, O., Doma, R., Gundi, R., ... & Yan, L. L. (2020). Hypertension

care coordination and feasibility of involving female community health volunteers in

hypertension management in Kavre District, Nepal: A qualitative study. Global Heart,

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