000			03060 a2200181 4500
100			_aTagaro, Iris Conela A. _911927
245	1		_aEstablishing a bidirectional hypertension referral system for the improvement of adherence to antihypertensive drug therapy in Villaeral, Samar / _cIris Conela A. Tagaro.
300			_aix, 84 leaves : illustrations (some color), map
500			_bTagaro, I. C. A. (2014). Establishing a bidirectional hypertension referral system for the improvement of adherence to antihypertensive drug therapy in Villaeral, Samar (Unpublished master's thesis). Graduate School of Public and Development Management, Development Academy of the Philippines.
502			_aGraduate School of Public and Development Management. _bHealth Systems and Development. _cBatch 4 _dThesis (MPM-HSD)--Development Academy of the Philippines.
520			_aThe general objective of this study was to improve the adherence of hypertensive patients to antihypertensive drug therapy in Barangay Guintarcan, Villareal, Samar. Specifically the study aims to determine the status of adherence, factors affecting adherence, and strategies to improve adherence of hypertensive patients to antihypertensive in Barangay Guintarcan. The World Health Organization Hypertensive Patient Questionaire was used in individual patient interview to determine status of adherence to antihypertensive drug therapy, the patient, socioeconomic, disease, and treatment-related factors that affect adherence of hypertensive patients to antihypertensive drug therapy. Focused Group Discussion was conducted to further investigate what factors affect adherence of hypertensive patients to antihypertensive drug therapy. A bidirectional hypertension referral system among the Main Health Center, Barangay Health Station of Guintarcan, and Community Healh Workers was established for follow-up care of hypertensive patients undergoing treatment. Adherence rates using Proportion of Days Covered (PDC) were observed for a period of six (6) months. Results showed that there is high proportion of hypertensive patients inBarangay Guintarcan which was 82.8%. Factors that affect adherence were Access to Follow-up Care and Antihypertensive Drugs, absence of symptoms , decrease of blood pressure to normal level, cost, and Philhealth membership. Continuity of care through bidirectional hypertension referral system maintained the adherence rates of hypertensive patients to antihypertensive drug therapy above 80.0% (overall average PDC of 85.2%). Percentage of hypertensive patients with Cardiovascular risk of 30% to <40% was decreased from 11.1% to 5.6% and percentage of hypertensive patients with cardiovascular risk of less that 10% increased from 55.6% to 94.4% in a period of 6 months.
650			_aHypertension. _921368
650			_aHypertension _xDrug therapy. _921585
700			_aEstioko, Roberto Q. (Chairperson). _921586
700			_aAlcido, Ma. Rowena H. (Institutional Partner). _911929
700			_aBunoan, Janis Asuncion (External Expert). _911930
942			_cTH _2lcc
999			_c3159 _d3159