Relationship between physician knowledge of hypertension and blood pressure control

Barry L Carter; Arthur Hartz; George Bergus; Jeffrey D Dawson; William R Doucette; Janyce J Stewart; Yinghui Xu

doi:10.1111/j.1524-6175.2006.05601.x

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Relationship between physician knowledge of hypertension and blood pressure control

Journal article

Open access

Peer reviewed

Relationship between physician knowledge of hypertension and blood pressure control

Barry L Carter, Arthur Hartz, George Bergus, Jeffrey D Dawson, William R Doucette, Janyce J Stewart and Yinghui Xu

The journal of clinical hypertension (Greenwich, Conn.), Vol.8(7), pp.481-486

07/2006

DOI: 10.1111/j.1524-6175.2006.05601.x

PMCID: PMC8109724

PMID: 16849901

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https://doi.org/10.1111/j.1524-6175.2006.05601.xView

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Abstract

The purpose of this study was to evaluate the cross-sectional relationship between physician knowledge of hypertension guidelines and blood pressure (BP) control. The authors evaluated a sample of primary care faculty (n=32) and a sample of their patients (n=613). When treating patients as independent observations, the authors found an inverse relationship (r=-0.524; p=0.002) where higher knowledge scores were associated with lower BP control. The authors conducted a multivariate analysis to accommodate the nonindependence due to random physician effects and found that there was no longer a significant association between knowledge and BP control, but there was still a trend (odds ratio=0.84; p=0.130). This study demonstrates that there is no evidence that high knowledge of hypertension guidelines will improve BP control rates and that higher knowledge may actually be associated with lower BP control. Strategies that are designed only to improve knowledge of hypertension guidelines are insufficient to improve BP control rates.

Blood Pressure

Multivariate Analysis

Practice Patterns, Physicians' - standards

Humans

Middle Aged

Hypertension - drug therapy

Male

Health Knowledge, Attitudes, Practice

Hypertension - physiopathology

Practice Patterns, Physicians' - statistics & numerical data

Physicians - standards

Hypertension - prevention & control

Adult

Female

Surveys and Questionnaires

Physicians - statistics & numerical data

Practice Guidelines as Topic

Details

Title: Subtitle: Relationship between physician knowledge of hypertension and blood pressure control
Creators: Barry L Carter - Division of Clinical and Administrative Pharmacy, College of Pharmacy, University of Iowa, Iowa City, 52242, USA. barry-carter@uiowa.edu
Arthur Hartz
George Bergus
Jeffrey D Dawson
William R Doucette
Janyce J Stewart
Yinghui Xu
Resource Type: Journal article
Publication Details: The journal of clinical hypertension (Greenwich, Conn.), Vol.8(7), pp.481-486
DOI: 10.1111/j.1524-6175.2006.05601.x
PMID: 16849901
PMCID: PMC8109724
NLM abbreviation: J Clin Hypertens (Greenwich)
ISSN: 1524-6175
eISSN: 1751-7176
Publisher: United States
Grant note: 1 R01 HL070740-01A1 / NHLBI NIH HHS 1 R01 HL069801-01A1 / NHLBI NIH HHS
Language: English
Date published: 07/2006
Academic Unit: Physician Assistant Studies; Public Health Administration; Psychiatry; Biostatistics; Family and Community Medicine; Pharmacy Practice and Science
Record Identifier: 9983997355502771

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