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Table 4 Patient prescription history associated with statin and ACEI/ARB prescribing at in-person office visits at 10 community health centers in Oregon where the medication(s) was/were clinically indicateda, June 2011 to May 2014

From: Cardiovascular care guideline implementation in community health centers in Oregon: a mixed-methods analysis of real-world barriers and challenges

  Office visitsb where a statin indicated Office visitsb where an ACEI/ARB was indicated
Number of encountersc % with an statin Rx < = 2 days p-value Number of encountersc % with an ACEI/ARBs Rx < = 2 days p-value
Total 11588 (13.2)   9887 (15.8)  
Patient prescription history
 Patient previously had prescription for indicated drug    <.0001    <.0001
  No 6761 (10.9)   2898 (18.5)  
  Yes 4827 (16.5)   6989 (14.8)  
 Patient has activedprescription for insulin       
  No 8682 (14.7) <.0001 7075 (18.7) <.0001
  Yes 2906 (8.7)   2812 (8.7)  
 Patient has activedprescription for non-insulin anti-hyperglycemic meds    <.0001    <.0001
  No 5639 (15.5)   4914 (18.5)  
  Yes 5949 (11.1)   4973 (13.2)  
 Patient has activedprescription for narcotic    <.0001    <.0001
  No 9422 (14.7)   7805 (18.1)  
  Yes 2166 (6.7)   2082 (7.3)  
 Patient has activedprescription for CVD meds    <.0001    <.0001
  No 8374 (15.4)   6553 (19.5)  
  Yes 3214 (7.6)   3334 (8.7)  
 Patient has activedprescription for psychotherapeutic meds    <.0001    <.0001
  No 7541 (16.1)   5996 (20.4)  
  Yes 4047 (7.9)   3891 (8.8)  
  1. Abbreviations: ACEI angiotensin-converting enzyme inhibitor, ARB angiotensin II receptor blockers, CVD cardiovascular disease; Rx referral
  2. aPoint-of-care alert for specified drug class fired at the visit
  3. bOffice visits defined as in-person encounters at a study clinic where the provider was a MD, PA, NP, or resident, and the encounter Evaluation & Management CPT code was in: 99201-99205; 99212-99215; 99243; 99385-99387; 99395-99397
  4. cVisit counts are not mutually exclusive e.g. if both types of BPA fired at a visit, the visit is counted in both the statin and ACEI/ARB columns. p-value from chi square test for independence between characteristic and outcome of Rx < = 2 days
  5. dRx ordered < date of the visit and end date of order is null or > date of visit