Drug control of hypertension in primary health care centers-registered patients, Al-Khobar, Saudi Arabia

Objective: To assess the quality of the pharmacological control of hypertension. Design: A cross-sectional study. Subjects: Primary health care centers-registered hypertensive patients. Setting: Primary health care centers in Al-Khobar, Saudi Arabia. Methods: Data was recorded, using a structured questionnaire, through direct interviewing of patients, and from their medical records. It included demographic characteristics, hypertension related, and doctors′-related variables; and patients′ utilization of other health facilities and whether they had other chronic diseases. Results: The proportion of patients with controlled hypertension was 37%. It was significantly increased with age below 55 years, with non-Saudis, duration of treatment shorter than 5 years; and with the use of monotherapy. Doctors′ care-related variables did not show significant variation with the number of controlled patients which may imply that the quality of follow-up might not be adequate. Conclusions: The proportion of controlled patients cared for in the PHC centers is low. The factors associated with control were age, and the use of a single antihypertensive drug. The study questions the quality of follow-up of patients by the PHC physicians.