A1 Refereed original research article in a scientific journal

Contacts to general practitioners and renewal of antihypertensive medication - a four-year follow-up in primary health care, Turku, Finland




AuthorsJohansson, Jouni K.; Korhonen, Päivi

PublisherBioMed Central

Publication year2026

Journal: BMC Primary Care

Article number32

Volume27

eISSN2731-4553

DOIhttps://doi.org/10.1186/s12875-025-03104-5

Publication's open availability at the time of reportingOpen Access

Publication channel's open availability Open Access publication channel

Web address https://link.springer.com/article/10.1186/s12875-025-03104-5

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/505550268

Self-archived copy's licenceCC BY NC ND

Self-archived copy's versionPublisher`s PDF


Abstract
Background

Persistence with medication is central to the effectiveness of antihypertensive therapy.

Electronic communication between patients and doctors may have potential to improve medication persistence among patients with hypertension. Our objective was to examine the use of antihypertensive medication in subjects with hypertension in primary health care in Finland in a longitudinal setting.

Methods

From the primary health care register of the city of Turku in Southwestern Finland, subjects with the diagnosis of hypertension were identified. Data of number and type of antihypertensive medication was gathered in a 4-year follow-up.

Results

Sixty-one percent of the subjects with hypertension had 1-4 antihypertensive medications in regular use. Ten percent did not use antihypertensive medication at all. Higher age, higher number of GP (general practitioner) visits, telephone contacts and electronic communication and presence of diabetes were associated with regular use of antihypertensive medication.

The most common antihypertensive medication group in regular use was ACE inhibitor/ARB-blocker (41%), followed by beta blockers (18%), diuretics (16%) and calcium channel blockers (15%).

Conclusions

Regular use of antihypertensive therapy was associated with the use of frequent GP contacts during the 4-year follow-up.


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Funding information in the publication
Jouni Johansson: The Finnish Foundation for General Practice (Suomen yleislääketieteen säätiö), for the research grant, Southwest Finland Wellbeing Services County, Turku, Finland, for the research grant and Turku University Hospital Education and Research Foundation, for the research grant.
Päivi Korhonen: Did not receive any funding for this article.


Last updated on 23/02/2026 09:24:17 AM