Does Patient-Centered Care Improve the Quality of Hypertension Management: A Literature Review
DOI:
https://doi.org/10.11594/nstp.2025.4704Keywords:
Patient-centered care, hypertension, management, quality of careAbstract
Globally, hypertension affects 1.28 billion adults aged 30–79 have hypertension, with two-thirds in low- and middle-income countries. In Indonesia, hypertension prevalence among individuals aged ?18 years decreased from 34.1% in 2018 to 30.8% in 2023. However, only 18.9% of cases are controlled, posing significant management challenges. Uncontrolled hypertension increases the risk of cardiovascular events. Although effective antihypertensive medications exist, hypertension remains poorly managed. Indonesia's shift to patient-centered care (PCC) aims to enhance health outcomes by respecting patient preferences and values in clinical decision-making. This literature review investigates whether PCC can improve hypertension management outcomes. Using the literature review method and the PICO framework, secondary sources from ScienceDirect, Sage, Springer, Pubmed, and Google Scholar were analyzed, focusing on studies from 2020-2024. Of the total 2731 articles, 6 articles are duplicates or the same article. After that, we found that the titles of 2574 articles did not match the topic. 14 articles did not meet the criteria of inclusion and 9 articles had inappropriate interventions and methodology. Finally, 4 articles were obtained that were suitable for analysis. The review found that PCC significantly improves hypertension outcomes by enhancing patient knowledge, medication adherence, and patient-provider communication. Implementing PCC strategies, such as the patient-centered medical home (PCMH) model, has been shown to improve blood pressure control, patient satisfaction, and engagement. These findings highlight the importance of PCC in hypertension management, advocating for its broader implementation to improve patient outcomes. Future interventions should focus on scaling PCC models, and integrating interprofessional collaboration and evidence-based practice to optimize global hypertension outcomes.
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