Key result
~71% of primary care clinicians identify antihypertensive discomfort as the top pediatric hypertension management barrier.
Why the study?
The study was conducted to contextualize the challenges of diagnosing and managing pediatric hypertension in federally qualified health centers.
Cross-Sectional (n=72)
Yes
Primary care clinicians report significant barriers to managing pediatric hypertension, particularly a lack of comfort with prescribing antihypertensive medications, highlighting a need for targeted education and population health tools.
May warrant targeted education on pediatric antihypertensives; cross-sectional data leaves open whether addressing barriers improves management.
The purpose of this study was to contextualize the challenges of diagnosing and managing pediatric hypertension (pHTN) in federally qualified health centers. We conducted a survey among primary care clinicians (N = 72) who treat children (3-17 years old) in a national network of health centers. Clinicians reported practices of blood pressure (BP) measurement, barriers to diagnosis and management of pHTN, and use of population health tools. Most clinicians (83%) used electronic devices to measure BP, only 49% used manual BP readings for follow-up measurements, and more than half measured BP at each encounter. The highest-rated barrier to pHTN management was lack of comfort with antihypertensive medications (71% of respondents). Few clinicians (10%) had used population health tools, but most (78%) indicated they would like to use them for pHTN. These results offer clinician-level insights regarding implementation of the pHTN guideline in pediatric primary care settings.
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Carroll et al. (2023) conducted a cross-sectional in Pediatric hypertension (n=72). Among 72 primary care clinicians, 71% reported lack of comfort with antihypertensive medications as the highest-rated barrier to managing pediatric hypertension.
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