Patient and provider perceptions of hypertension treatment: do they agree?

Peter J Kaboli; Daniel M Shivapour; Michael S Henderson; Mitchell J Barnett; Areef Ishani; Barry L Carter

doi:10.1111/j.1524-6175.2007.06492.x

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Patient and provider perceptions of hypertension treatment: do they agree?

Journal article

Open access

Peer reviewed

Patient and provider perceptions of hypertension treatment: do they agree?

Peter J Kaboli, Daniel M Shivapour, Michael S Henderson, Mitchell J Barnett, Areef Ishani and Barry L Carter

The journal of clinical hypertension (Greenwich, Conn.), Vol.9(6), pp.416-423

06/2007

DOI: 10.1111/j.1524-6175.2007.06492.x

PMCID: PMC8109969

PMID: 17541326

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Abstract

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.

Attitude to Health

Cardiovascular Diseases - prevention & control

Humans

Middle Aged

Patient Education as Topic - trends

Hypertension - drug therapy

Male

Physician-Patient Relations

Minnesota

Antihypertensive Agents - therapeutic use

Health Knowledge, Attitudes, Practice

Hypertension - physiopathology

Antihypertensive Agents - adverse effects

Patient Satisfaction

Iowa

Health Surveys

Female

Aged

Blood Pressure - drug effects

Patient Compliance

Hospitals, Veterans

Antihypertensive Agents - economics

Details

Title: Subtitle: Patient and provider perceptions of hypertension treatment: do they agree?
Creators: Peter J Kaboli - Center for Research in the Implementation of Innovative Strategies in Practice (CSIISP) at the Iowa City Veterans Affairs Healthcare Systems, Iowa City, IA 52246, USA. peter.kaboli@va.gov
Daniel M Shivapour
Michael S Henderson
Mitchell J Barnett
Areef Ishani
Barry L Carter
Resource Type: Journal article
Publication Details: The journal of clinical hypertension (Greenwich, Conn.), Vol.9(6), pp.416-423
DOI: 10.1111/j.1524-6175.2007.06492.x
PMID: 17541326
PMCID: PMC8109969
NLM abbreviation: J Clin Hypertens (Greenwich)
ISSN: 1524-6175
eISSN: 1751-7176
Grant note: R01 HL069801 / NHLBI NIH HHS R01 HL070740 / NHLBI NIH HHS
Language: English
Date published: 06/2007
Academic Unit: Epidemiology; Pharmacy Practice and Science; Internal Medicine
Record Identifier: 9984094502402771

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