Barriers to adherence to hypertension guidelines among GPs in southern Sweden: A survey

Scandinavian Journal of Primary Health Care

Volumn 26, Issue 3, 2008, Pages 154-159

  Midlöv, Patrik ^a,b,c   Ekesbo, Rickard ^a,b   Johansson, Lennart ^b   Gerward, Sofia ^a   Persson, Kristin ^b   Nerbrand, Christina ^a,b   Hedblad, Bo ^a  

^a LUND UNIVERSITY   (Sweden)

^b RD Department of Primary Care in the Region of Skåne

^c Tabelund Primary Health Care Centre   (Sweden)

Author keywords

Barriers; Family practice; Guidelines; Hypertension; Primary care; Survey

Indexed keywords

ARTICLE; CONFIDENCE INTERVAL; DIASTOLIC BLOOD PRESSURE; FEMALE; GENERAL PRACTITIONER; HEALTH SURVEY; HUMAN; HYPERTENSION; MAJOR CLINICAL STUDY; MALE; PATIENT COMPLIANCE; PRACTICE GUIDELINE; QUESTIONNAIRE; RANDOM SAMPLE; RISK ASSESSMENT; SWEDEN; SYSTOLIC BLOOD PRESSURE;

AGE FACTORS; CLINICAL COMPETENCE; COMMUNITY HEALTH CENTERS; FAMILY PRACTICE; FEMALE; GUIDELINE ADHERENCE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; HYPERTENSION; MALE; PHYSICIAN'S PRACTICE PATTERNS; PHYSICIANS, FAMILY; QUESTIONNAIRES; RISK ASSESSMENT; RISK FACTORS; SWEDEN;

EID: 50849097244     PISSN: 02813432     EISSN: 15027724     Source Type: Journal    
DOI: 10.1080/02813430802202111     Document Type: Article

References (26)

1. Swedish Council on Technology Assessment in Health Care. Moderately elevated blood pressure. Report Volumes 1-3. Stockholm: Swedish Council on Technology Assessment in Health Care; 2004.
2. Sharma AM, Wittchen HU, Kirch W, Pittrow D, Ritz E, Goke B, et al. High prevalence and poor control of hypertension in primary care: Cross-sectional study. J Hypertens 2004;22:479-86.
3. Wirehn AB, Karlsson HM, Carstensen JM. Estimating disease prevalence using a population-based administrative healthcare database. Scand J Public Health 2007;35:424-31.
4. Guidelines Committee. 2003 European Society of Hypertension - European Society of Cardiology guidelines for the management of arterial hypertension. J Hypertens 2003;21:1011-53.
5. Wolf-Maier K, Cooper RS, Kramer H, Banegas JR, Giampaoli S, Joffres MR, et al. Hypertension treatment and control in five European countries, Canada, and the United States. Hypertension 2004;43:10-7.
6. Frijling BD, Spies TH, Lobo CM, Hulscher ME, van Drenth BB, Braspenning JC, et al. Blood pressure control in treated hypertensive patients: Clinical performance of general practitioners. Br J Gen Pract 2001;51:9-14.
7. Cuspidi C, Michev I, Lonati L, Vaccarella A, Cristofari M, Garavelli G, et al. Compliance to hypertension guidelines in clinical practice: A multicentre pilot study in Italy. J Hum Hypertens 2002;16:699-703.
8. Hedblad B, Nerbrand C, Ekesbo R, Johansson L, Midlöv P, Brunkstedt I, et al. High blood pressure despite treatment: Results from a cross-sectional primary healthcare-based study in southern Sweden. Scand J Prim Health Care 2006;24:224-30.
9. Wassenberg MW, Willemsen JM, Gaillard CA, Braam B. Hypertension management in primary care: Standard care and attitude towards a disease management model. Neth J Med 2004;62:375-82.
10. Phillips LS, Branch WT, Cook CB, Doyle JP, El-Kebbi IM, Gallina DL, et al. Clinical inertia. Ann Intern Med 2001;135:825-34.
11. Hyman DJ, Pavlik VN. Self-reported hypertension treatment practices among primary care physicians: Blood pressure thresholds, drug choices, and the role of guidelines and evidence-based medicine. Arch Intern Med 2000;160:2281-6.
12. Oliveria SA, Lapuerta P, McCarthy BD, L'Italien GJ, Berlowitz DR, Asch SM. Physician-related barriers to the effective management of uncontrolled hypertension. Arch Intern Med 2002;162:413-20.
13. Regional drug committee, editor, editor. [Background material for recommendation of pharmacotherapy]. Lund: Author; 2007 (In Swedish).
14. Wolfe RM, Sharp LK, Wang RM. Family physicians, opinions and attitudes to three clinical practice guidelines. J Am Board Fam Pract 2004;17:150-7.
15. Siriwardena AN. Clinical guidelines in primary care: A survey of general practitioners' attitudes and behaviour. Br J Gen Pract 1995;45:643-7.
16. Butzlaff M, Kempkens D, Schnee M, Dieterle WE, Bocken J, Rieger MA. German ambulatory care physicians' perspectives on clinical guidelines: A national survey. BMC Fam Pract 2006;7:47.
17. Worrall G, Chaulk P, Freake D. The effects of clinical practice guidelines on patient outcomes in primary care: A systematic review. CMAJ 1997;156:1705-12.
18. Heneghan C, Perera R, Mant D, Glasziou P. Hypertension guideline recommendations in general practice: Awareness, agreement, adoption, and adherence. Br J Gen Pract 2007;57:948-52.
19. Beaulieu MD, Brophy J, Jacques A, Blais R, Battista RN, Lebeau R. Physicians' attitudes to the pharmacological treatment of patients with stable angina pectoris. Q J Med 2005;98:41-51.
20. Staessen JA, Gasowski J, Wang JG, Thijs L, Den Hond E, Boissel JP, Coope J, Ekbom T, Gueyffier F, Liu L, Kerlikowske K, Pocock S, Fagard RH. Risks of untreated and treated isolated systolic hypertension in the elderly: Meta-analysis of outcome trials. Lancet 2000;355:865-72.
21. Mulrow C, Lau J, Cornell J, Brand M. Pharmacotherapy for hypertension in the elderly. Cochrane Database Syst Rev 2000;CD000028.
22. Lewington S, Clarke R, Qizilbash N, Peto R, Collins R. Prospective Studies Collaboration. Age-specific relevance of usual blood pressure to vascular mortality: A meta-analysis of individual data for one million adults in 61 prospective studies. Lancet 2002;360:1903-13.
23. Jokisalo E, Kumpusalo E, Enlund H, Takala J. Patients' perceived problems with hypertension and attitudes towards medical treatment. J Hum Hypertens 2001;15:755-61.
24. Oliveria SA, Chen RS, McCarthy BD, Davis CC, Hill MN. Hypertension knowledge, awareness, and attitudes in a hypertensive population. J Gen Intern Med 2005;20:219-25.
25. Chiuve SE, McCullough ML, Sacks FM, Rimm EB. Healthy lifestyle factors in the primary prevention of coronary heart disease among men: Benefits among users and nonusers of lipid-lowering and antihypertensive medications. Circulation 2006;114:160-7.
26. Milchak JL, Carter BL, James PA, Ardery G. Measuring adherence to practice guidelines for the management of hypertension: An evaluation of the literature. Hypertension 2004;44:602-8.