Barriers to follow-up of hypertensive patients

Charles P. Mouton, Robert Beaudouin, Adewale Troutman, Mark S. Johnson

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Lack of follow-up care for hypertension adversely affects health in urban communities. The authors designed this study to (1) evaluate the effectiveness of a specialized intervention program for hypertension follow-up and (2) evaluate the associations with loss to follow-up. They evaluated factors related to loss to follow-up to either a routine care medical clinic or a special primary care intervention program (the Competitive Initiative Program [CIP]). They also conducted interviews to provide in-depth information on the barriers to this program. They found that patients referred through the CIP were significantly more likely to receive follow-up care through a primary care provider. Cost of care, long waiting times, lack of physician continuity, and more pressing priorities explained the lack of follow-up care. Despite a program to provide health care at no cost to patients, lack of insurance and worries about cost are described as barriers to adequate follow-up for hypertension treatment.

Original languageEnglish (US)
Pages (from-to)290-301
Number of pages12
JournalJournal of Health Care for the Poor and Underserved
Issue number3
StatePublished - Aug 2001
Externally publishedYes


  • Access to care
  • Community interventions
  • Hypertension treatment

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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