In the US, 6 in 10 adults have a chronic disease and 4 in 10 have two or more. Hypertension is one chronic disease that affects ~75 million adults, 1 in 3. The under-management of hypertension poses significant quality and safety concerns. It is known that traditional healthcare delivery methods, primarily through family physicians inadequately address the challenges of hypertension management. There is lack of access to healthcare services in underserved urban areas which results in higher rates of negative outcomes.
In Chesterfield County, VA, where I live, there are no free clinics, therefore, no access for the uninsured hypertensive patient to receive ongoing care. It is my thought that implementing policies that support APRN-led community-based clinics for long-term management of hypertension in urban areas can potentially reduce health disparities, disease risk factors and costs. Which I believe will improve the quality and safety of patients in underserved communities.
DNP Essentials II, V, VII
Allen, J. K., Dennison Himmelfarb, C. R., Szanton, S. L., & Frick, K. D. (2014). Cost-effectiveness of Nurse Practitioner/Community Health Worker Care to Reduce Cardiovascular Health Disparities. Journal of Cardiovascular Nursing, 29(4), 308–314. https://doi-org.proxy.library.vcu.edu/10.1097/JCN.0b013e3182945243
Shennen Smith, E. (2018). Implementation of a Community-Based Outreach Hypertension Program in an Urban Beauty Salon. Implementation Of A Community-Based Outreach Hypertension Program In An Urban Beauty Salon, 1. Retrieved from http://proxy.library.vcu.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&AuthType=ip,url,cookie,uid&db=ccm&AN=131799050&site=ehost-live&scope=site