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January 1, 2001Hypertension Research9 citationsOpen Access

Differences in Knowledge, Attitude and Behavior with Respect to Hypertension among Cardiologists, Neurologists and Other Physicians in Internal Medicine.

ZWZengwu WangLCLuqin CaoYWYang-feng Wu

Key Result

Cardiologists and neurologists had better knowledge and attitude regarding hypertension than other internal medicine physicians (15.3% and 15.2% vs 7.2% correct on all questions, p<0.05).

Key Points

  • To evaluate and compare knowledge, attitudes, and clinical behaviors concerning hypertension prevention and management among cardiologists, neurologists, and other internal medicine physicians.
  • Stratified random sampling selected 1,722 potential participants, yielding 1,609 survey respondents and 948 eligible physicians for final analysis.
  • Data on diagnostic criteria, clinical attitudes, and practice behaviors were gathered using a self-administered questionnaire.
  • Correct responses to all knowledge and attitude questions were achieved by 15.3% of cardiologists, 15.2% of neurologists, and 7.2% of other internists (p<0.05), with approximately two-thirds of physicians misunderstanding hypertension criteria.
  • Correct clinical behavior across all questions was reported by 16.5% of cardiologists, 17.9% of neurologists, and 9.6% of other internists (p<0.05).
  • A majority of physicians considered routine blood pressure measurement unnecessary in uncomplicated cases, and 50% to 66% doubted that lifestyle modifications reduce blood pressure.

Study Design

Type

Cross-Sectional (n=948)

Structured PICO

P
Population
948 physicians (cardiologists, neurologists, and other internal medicine physicians) selected by stratified random sampling
O
Outcome
Knowledge, attitude, and behavior (KAB) regarding hypertension, measured via self-administrated questionnaire

Significant gaps exist in hypertension knowledge and management practices among physicians, emphasizing the need for broader cardiovascular health education beyond just specialists.

Main Result

Absolute Event Rate: 15.3% vs 7.2%

p-value: p=<0.05

Abstract

It is known that the knowledge, attitude and behavior (KAB) of physicians with respect to hypertension directly affect the prevention of hypertension and associated cardiovascular diseases. To investigate the differences in KAB among cardiologists, neurologists and other physicians, 1,722 potential participants were selected by stratified random sampling. Among these, 1,609 participants took part in the present survey, and 948 of this group were eligible for the present analysis. The data were collected using a self-administrated questionnaire. Results showed that, with respect to knowledge and attitude regarding hypertension, 15.3% of cardiologists, 15.2% of neurologists and 7.2% of other internals selected the correct answers to all questions (p<0.05). The criteria of hypertension were not correctly understood by about two-thirds of physicians, including both cardiologists and neurologists. With regard to behavior, 16.5% of cardiologists, 17.9% of neurologists and 9.6% of other internals selected the correct answers to all questions (p<0.05). A majority of physicians considered that routine blood pressure measurements were not necessary in cases uncomplicated by cardiovascular disease and other disease, such as nephrotic disease, or diabetes mellitus. One-half to two-thirds of physicians did not believe that life style modifications reduce blood pressure. For each question, cardiologists showed the highest, and other internals the lowest, percentage of correct responses to all items in the questionnaire. These findings indicate that cardiovascular health education must be strengthened for all physicians, and not only for specialists.

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Cite This Study

Wang et al. (2001) conducted a cross-sectional in Hypertension (n=948). Cardiology and neurology specialties vs. Other physicians in internal medicine was evaluated on Correct answers to all questions regarding knowledge and attitude about hypertension (p=<0.05). Cardiologists and neurologists had better knowledge and attitude regarding hypertension than other internal medicine physicians (15.3% and 15.2% vs 7.2% correct on all questions, p<0.05).

synapsesocial.com/papers/6a16a96462528a85c6051a5ehttps://doi.org/10.1291/hypres.24.459
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