Open AccessPatient and Provider Perceptions of Hypertension Treatment: Do They Agree?
Author(s) -
Kaboli Peter J.,
Shivapour Daniel M.,
Henderson Michael S.,
Barnett Mitchell J.,
Ishani Areef,
Carter Barry L.
Publication year - 2007
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/j.1524-6175.2007.06492.x
Subject(s) - guideline , medicine , blood pressure , family medicine , hypertension treatment , quality management , perception , patient education , psychology , management system , management , pathology , economics , neuroscience
The objective of our study was to explore physician and patient attitudes regarding hypertension management. One hundred forty‐five primary care providers and 189 patients with hypertension at 6 Veterans Administration clinics completed a hypertension survey. Fifty‐one percent of patients were at their blood pressure goal, 58% were on guideline‐concordant therapy, and 31% achieved both. Patients and providers agreed that physicians were a “very/extremely” useful source of information but differed in perceived value of pharmacists, educational material, advertising, and the Internet. They also agreed on the value of preventing cardiovascular events but differed in their perceptions of the importance of medication costs, side effects, and national guidelines. Blood pressure control and guideline‐concordant therapy was higher than most prior reports, but with opportunity for improvement. Patients and providers differed in perceived value of various aspects of hypertension management; this information may help to determine trial design and quality improvement strategies in the future.