Paper Summary:

The paper highlights the inadequacy of tertiary prevention alone in achieving effective outcome management of hypertension in African Americans. The paper discusses how interventions at the primary, secondary and tertiary level of prevention are a more cost-effective means of achieving desirable outcomes. The paper then discusses how one could use education to target patients' non-compliance with treatment.

Outline:
Introduction
Tertiary Prevention
Significance of All Levels of Prevention
Tertiary Preventive Activity
Conclusion

From the Paper:

"The tertiary level of prevention involves the prevention of the progression of disease or further complications as a result. While primary and secondary prevention of disease are a major and preferred component of population-based health programs, tertiary prevention is also a significant component in that it addresses that proportion of the population that already has a specific disease and is at risk of developing more severe disease or associated co-morbid diseases."

Sample of Sources Used:

• Bosworth HB, Dudley T, Olsen MK, Voils CI, Powers B, Goldstein MK et al. (2006). Racial differences in blood pressure control: potential explanatory factors. Am J Med., 119(1), 70.e9-15. Retrieved April 25, 2007 from the Pubmed Database.
• Druss BG, Marcus SC, Olfson M & Pincus HA. (2002). The most expensive medical conditions in America. Health Aff (Millwood). 2002 Jul-Aug;21(4):105-11. Retrieved April 25, 2007 from http://content.healthaffairs.org/cgi/content/full/21/4/105
• Fongwa MN, Evangelista LS & Doering LV. (2006). Adherence to treatment factors in hypertensive African American women. J Cardiovasc Nurs., 21(3), 201-7. Retrieved April 25, 2007 from the Pubmed Database.
• Hicks LS, Fairchild DG, Horng MS, Orav EJ, Bates DW & Ayanian JZ. (2004). Determinants of JNC VI guideline adherence, intensity of drug therapy, and blood pressure control by race and ethnicity. Hypertension, 44(4), 429-34. Retrieved April 25, 2007 from the Pubmed Database.
• Hicks LS, Shaykevich S, Bates DW & Ayanian JZ. (2005).Determinants of racial/ethnic differences in blood pressure management among hypertensive patients. BMC Cardiovasc Disord., 5(1), 16. Retrieved April 25, 2007 from the Pubmed Database.

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