What does this research mean for the field?

Primary care physicians generally believe self-monitoring of blood pressure is useful but remain hesitant to fully endorse it due to anticipated problems, with greater endorsement seen among those who have more patients actively using it. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To assess community- and university-based primary care physicians' perceptions, attitudes, and concerns regarding patient self-monitoring of blood pressure in hypertension management.

December 1, 2003Blood Pressure Monitoring

Primary care physician beliefs regarding usefulness of self-monitoring of blood pressure

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Why the study?

What are the beliefs of primary care physicians regarding the usefulness of self-monitoring of blood pressure?

Key Points

To assess community- and university-based primary care physicians' perceptions, attitudes, and concerns regarding patient self-monitoring of blood pressure in hypertension management.
Mailed a written 5-point Likert-scale questionnaire to healthcare providers across a primary care research network.
Collected and analyzed completed surveys from 138 of 170 contacted primary care physicians (81% response rate).
Most physicians (63%) had patients who self-monitor, identifying the practice as potentially useful and economical, yet also problematic.
Community-based clinicians were significantly more likely than university-based clinicians to recognize benefits and disagree that home monitoring causes treatment problems (P < 0.05).
Physicians managing fewer than five home-monitoring patients expressed significantly stronger concerns regarding potential clinical and operational difficulties compared to peers with more experienced patients.

Structured PICO

What are the beliefs of primary care physicians regarding the usefulness of self-monitoring of blood pressure?

Population

138 community- and university-based primary care physicians in a primary care research network, age 25-72 years, 50% female, approximately 50% residents.

Intervention

Written, 5-point Likert-scale questionnaire assessing opinions of self-monitoring of blood pressure (SMBP).

Outcome

Physician opinions of SMBP (usefulness, economics, and potential problems).

Primary care physicians believe self-monitoring of blood pressure can be useful but remain hesitant to fully endorse it due to anticipated problems, with community-based physicians and those with more SMBP-using patients being more supportive.

Discussion

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Implication

Physician beliefs in SMBP benefits vary by practice setting; leaves open whether targeted education improves adoption in academic centers.

Cite This Study

Cheng et al. (2003) studied this question.

synapsesocial.com/papers/6a19d9563e4c9aaeb7f670cf https://doi.org/10.1097/00126097-200312000-00005

Topics

Hypertension management

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Implication

Physician beliefs in SMBP benefits vary by practice setting; leaves open whether targeted education improves adoption in academic centers.