What question did this study set out to answer?

The aim is to understand primary care physicians' opinions on hypertension treatment practices and barriers for better management.

April 2, 2009BMC Family PracticeOpen Access

Physician reported perception in the treatment of high blood pressure does not correspond to practice

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The aim is to understand primary care physicians' opinions on hypertension treatment practices and barriers for better management.
Conducted an IRB approved survey on physician opinions related to hypertension treatment.
Surveyed knowledge of treatment guidelines, barriers to control, and self-assessment of treatment efficacy.
Involved 28 board-certified physicians in urban, suburban, and inner-city practices.
All physicians believed they managed hypertension effectively, yet half would not intensify treatment when blood pressure exceeded recommended levels.
Most cited patient non-compliance as the primary barrier to optimal hypertension control.
Findings indicate a contradiction between perceived performance and actual treatment behaviors.

Structured PICO

Population

28 board-certified family or general internal medicine physicians (teaching faculty) in Ohio, United States.

Outcome

Physician opinions regarding use of hypertension guidelines, barriers to treatment, and treatment decision-making

Primary care physicians overestimate their adherence to hypertension guidelines and incorrectly attribute poor blood pressure control primarily to patient non-compliance rather than their own clinical inertia.

Limitations

Small population size
Physicians practice within the same geographic area
Intentionally drew from a physician population who teach students and residents, so results may not be generalizable to all primary care practices

Discussion

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Implication

Physicians may overestimate guideline adherence due to clinical inertia; leaves open whether education targeting physician behavior improves hypertension control.

Cite This Study

Wexler et al. (2009) studied this question.

synapsesocial.com/papers/6a7b61ff02ab7a73dd034f55 https://doi.org/10.1186/1471-2296-10-23

Topics

Hypertension management

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Implication

Physicians may overestimate guideline adherence due to clinical inertia; leaves open whether education targeting physician behavior improves hypertension control.

Physician reported perception in the treatment of high blood pressure does not correspond to practice

Key Points

Structured PICO

Limitations

Discussion

Implication

Cite This Study

Topics

Physician reported perception in the treatment of high blood pressure does not correspond to practice

Key Points

Structured PICO

Limitations

Discussion

Implication

Cite This Study

Also Consider

Topics

Also Consider