What does this research mean for the field?

While home blood pressure monitoring is widely encouraged by physicians and adopted by patients, its clinical usefulness is undermined by physicians' preference for office readings and a lack of patient training, standardized protocols, and guidance on interpreting results. Novelty: ClaimNovelty.NOVEL_FINDING. Consensus alignment: ConsensusAlignment.NEUTRAL.

March 1, 2008Journal of Hypertension

Attitudes of primary care physicians and their patients about home blood pressure monitoring in Ontario

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Why the study?

What are the attitudes and practices of primary care physicians and their hypertensive patients regarding home blood pressure monitoring?

Population

765 primary care physicians and 149 hypertensive patients in Ontario

Design

Cross-sectional

Authors

ALAlexander G. LoganUniversity College of the North ADAndrea DunaiSemmelweis University WMWarren J. McIsaacMount Sinai Hospital

Discussion

Member takes

Implication

May warrant improved HBPM counseling to boost utility; leaves open prospective studies on diagnostic integration.

Key Points

Examine the attitudes of primary care physicians and their hypertensive patients regarding home blood pressure monitoring.
Self-administered survey sent to 1418 primary care physicians in Ontario, with a 55% response rate.
299 physicians treating hypertension distributed surveys to their hypertensive patients, resulting in 149 patient responses.
63% of physicians encourage patients to monitor blood pressure at home, but only 13% prefer home readings for diagnostics.
70% of physicians are concerned about patients over-monitoring and 65% about accuracy of home devices.
78% of patients own a monitoring device, yet only 8% received training on its use and 80% were not advised on which device to buy.

Structured PICO

What are the attitudes and practices of primary care physicians and their hypertensive patients regarding home blood pressure monitoring?

Population

765 primary care physicians and 149 hypertensive patients in Ontario

Intervention

Home blood pressure monitoring (survey of attitudes and practices)

Outcome

Attitudes and practices regarding home blood pressure monitoring

Despite high patient uptake and physician encouragement of home blood pressure monitoring, its clinical utility is limited by a lack of physician preference for its use in decision-making and inadequate patient training.

Cite This Study

Logan et al. (2008) studied this question.

synapsesocial.com/papers/6a19d9563e4c9aaeb7f670cd https://doi.org/10.1097/hjh.0b013e3282f2fdd4

Topics

Hypertension management

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Attitudes of primary care physicians and their patients about home blood pressure monitoring in Ontario

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Attitudes of primary care physicians and their patients about home blood pressure monitoring in Ontario

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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Topics

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