Add wos sample results library

02-data/intermediate/wos_sample/73be20da749d2139cf7f2f727bb5c052-yan-lily-d.-and-chi/info.yaml

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+abstract: 'Background: Improved primary health care is needed in developing
+
+  countries to effectively manage the growing burden of hypertension. Our
+
+  objective was to evaluate hypertension management in Zambian rural
+
+  primary care clinics using process and outcome indicators to assess the
+
+  screening, monitoring, treatment and control of high blood pressure.
+
+  Methods: Better Health Outcomes through Mentoring and Assessment (BHOMA)
+
+  is a 5-year, randomized steppedwedge trial of improved clinical service
+
+  delivery underway in 46 rural Zambian clinics. Clinical data were
+
+  collected as part of routine patient care from an electronic medical
+
+  record system, and reviewed for site performance over time according to
+
+  hypertension related indicators: screening (blood pressure measurement),
+
+  management (recorded diagnosis, physical exam or urinalysis), treatment
+
+  (on medication), and control. Quantitative data was used to develop
+
+  guides for qualitative in-depth interviews, conducted with health care
+
+  providers at a proportional sample of half (20) of clinics. Qualitative
+
+  data was iteratively analyzed for thematic content.
+
+  Results: From January 2011 to December 2014, 318,380 visits to 46
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+  primary care clinics by adults aged >= 25 years with blood pressure
+
+  measurements were included. Blood pressure measurement at vital sign
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+  screening was initially high at 89. 1\% overall (range: 70.1-100\%), but
+
+  decreased to 62.1\% (range: 0-100\%) by 48 months after intervention
+
+  start. The majority of hypertensive patients made only one visit to the
+
+  clinics (57.8\%). Out of 9022 patients with at least two visits with an
+
+  elevated blood pressure, only 49.3\% had a chart recorded hypertension
+
+  diagnosis. Process indicators for monitoring hypertension were < 10\%
+
+  and did not improve with time. In in-depth interviews, antihypertensive
+
+  medication shortages were common, with 15/20 clinics reporting
+
+  hydrochlorothiazide-amiloride stockouts. Principal challenges in
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+  hypertension management included 1) equipment and personnel shortages,
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+  2) provider belief that multiple visits were needed before official
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+  management, 3) medication stock-outs, leading to improper prescriptions
+
+  and 4) poor patient visit attendance.
+
+  Conclusions: Our findings suggest that numerous barriers stand in the
+
+  way of hypertension diagnosis and management in Zambian primary health
+
+  facilities. Future work should focus on performance indicator
+
+  development and validation in low resource contexts, to facilitate
+
+  regular and systematic data review to improve patient outcomes.'
+affiliation: 'Yan, LD (Corresponding Author), Ctr Infect Dis Res Zambia, Primary Care
+  \& Hlth Syst Dept, Lusaka, Zambia.
+
+  Yan, LD (Corresponding Author), Stanford Univ, Sch Med, Stanford, CA 94305 USA.
+
+  Yan, Lily D.; Chirwa, Cindy; Chi, Benjamin H.; Bosomprah, Samuel; Sindano, Ntazana;
+  Mwanza, Moses; Musatwe, Dennis; Mulenga, Mary; Chilengi, Roma, Ctr Infect Dis Res
+  Zambia, Primary Care \& Hlth Syst Dept, Lusaka, Zambia.
+
+  Yan, Lily D., Stanford Univ, Sch Med, Stanford, CA 94305 USA.
+
+  Chi, Benjamin H.; Chilengi, Roma, Univ N Carolina, Dept Obstet \& Gynecol, Sch Med,
+  Chapel Hill, NC USA.
+
+  Bosomprah, Samuel, Univ Ghana, Sch Publ Hlth, Dept Biostat, Accra, Ghana.'
+article-number: '111'
+author: Yan, Lily D. and Chirwa, Cindy and Chi, Benjamin H. and Bosomprah, Samuel
+  and Sindano, Ntazana and Mwanza, Moses and Musatwe, Dennis and Mulenga, Mary and
+  Chilengi, Roma
+author-email: lilyyan@alumni.stanford.edu
+author_list:
+- family: Yan
+  given: Lily D.
+- family: Chirwa
+  given: Cindy
+- family: Chi
+  given: Benjamin H.
+- family: Bosomprah
+  given: Samuel
+- family: Sindano
+  given: Ntazana
+- family: Mwanza
+  given: Moses
+- family: Musatwe
+  given: Dennis
+- family: Mulenga
+  given: Mary
+- family: Chilengi
+  given: Roma
+da: '2023-09-28'
+doi: 10.1186/s12913-017-2063-0
+files: []
+issn: 1472-6963
+journal: BMC HEALTH SERVICES RESEARCH
+keywords: 'Hypertension; Zambia; Mixed methods; Antihypertensive medication;
+
+  Performance indicators; Quality improvement'
+keywords-plus: 'MIDDLE-INCOME COUNTRIES; PRIMARY-HEALTH-CARE; QUALITY INDICATORS;
+
+  ALMA-ATA; PERFORMANCE; PREVENTION; DISEASE; REBIRTH; AFRICA; NEEDS'
+language: English
+month: FEB 3
+number-of-cited-references: '30'
+orcid-numbers: 'Yan, Lily/0000-0001-6363-7920
+
+  Bosomprah, PhD, Prof. Samuel/0000-0002-2826-3887'
+papis_id: 113c0ab858c7fbc675c75a282954ed20
+ref: Yan2017hypertensionmanageme
+researcherid-numbers: 'Yan, Lily/AAR-6163-2021
+
+  '
+times-cited: '14'
+title: 'Hypertension management in rural primary care facilities in Zambia: a mixed
+  methods study'
+type: Article
+unique-id: WOS:000393277500002
+usage-count-last-180-days: '0'
+usage-count-since-2013: '11'
+volume: '17'
+web-of-science-categories: Health Care Sciences \& Services
+year: '2017'