Journal ArticleDOI
Physicians' degree of motivation regarding their perception of hypertension, and blood pressure control.
TLDR
The results of DUO-HTA underline the importance of physicians' perception of hypertension, in addition or concurrently to their compliance with international guidelines, for a successful management of hypertensive patients.Abstract:
Background Despite clear international guidelines, the achievement of blood pressure (BP) control is still disappointing. Objective To determine whether physicians' perception of hypertension, in general, is related to their patients' BP measures. Methods and results DUO-HTA is a French cross-sectional survey, which included a representative sample of 346 general practitioners, 209 cardiologists and 2014 hypertensive patients. Data were collected using two self-administered questionnaires filled out by the hypertensive patients and their physicians. A cluster analysis was performed on the responses given by the physicians, prior to the inclusion of their patients into the study, to 13 questions concerning their perception of hypertension. Physicians were divided into five groups, ranging from 'poorly motivated' to 'highly motivated' physicians, with regard to their perception of hypertension. More motivated physicians had a more confident and optimistic approach of hypertension, looked more empathetic and supportive towards patients and were characterized by higher rates of patients with controlled BP included into the study (range 32-42%, P=0.01 for trend). After adjusting for sociodemographic, clinical and psychological patient-related variables, separate analyses for the patients included into the survey by general practitioners or cardiologists found a significant decreasing gradient for SBP according to physicians' level of motivation (respectively, P=0.029 and P=0.021). Close results were observed in multivariate logistic regression analyses of uncontrolled hypertension. Conclusion These results underline the importance of physicians' perception of hypertension, in addition or concurrently to their compliance with international guidelines, for a successful management of hypertensive patientsread more
Citations
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Journal ArticleDOI
Perception of hypertension management by patients and doctors in Asia: potential to improve blood pressure control.
Abdul Rashid Abdul Rahman,Ji-Guang Wang,Gary Mak Yiu Kwong,Dante D Morales,Piyamitr Sritara,Renan Sukmawan +5 more
TL;DR: A fundamental gap between the beliefs of doctors and patients as to who should be most responsible for the patients’ hypertension management is identified and adherence to medication regimens may be less of a limiting factor than doctors believe.
Journal ArticleDOI
Perception of health and understanding of cardiovascular risk among patients with recently diagnosed diabetes and/or metabolic syndrome.
Nieves Martell-Claros,Pedro Aranda,O. González-Albarrán,Antoni Dalfó-Baqué,Manuel Domínguez-Sardiña,Juan J. de la Cruz,Carlos Campo,Cristina de Álvaro +7 more
TL;DR: Patients with recently diagnosed DM and/or with MS have a poor awareness of their CV risk and 42.2% of them think that they have good or excellent health.
Journal ArticleDOI
Internet programs targeting multiple lifestyle interventions in primary and secondary care are not superior to usual care alone in improving cardiovascular risk profile: A systematic review
TL;DR: The addition of a multiple modifiable lifestyle Internet intervention in primary or secondary care is not superior to usual care with respect to prevention and treatment of cardiovascular risk factors, however, an Internet delivered program does have the potential of being successful in reducing the number of doctor's visits and may therefore be cost-effective when applied in large scale.
Journal ArticleDOI
Blood pressure control in the hypertensive population. What else the doctor can do
Journal ArticleDOI
Antihypertensive treatment in a general uncontrolled hypertensive population in Belgium and Luxembourg in primary care: Therapeutic inertia and treatment simplification. The SIMPLIFY study.
TL;DR: The SIMPLIFY study as mentioned in this paper identified key factors related to therapeutic inertia in hypertension management in Belgium and Luxembourg, and evaluated how uncontrolled treated hypertension is managed in primary care, including age, mild grade hypertension, isolated systolic hypertension, longer duration of antihypertensive treatment and better therapeutic adherence.
References
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Journal ArticleDOI
The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report.
Aram V. Chobanian,George L. Bakris,Henry R. Black,William C. Cushman,Lee A. Green,Joseph L. Izzo,Daniel W. Jones,Barry J. Materson,Suzanne Oparil,Jackson T. Wright,Edward J. Roccella +10 more
TL;DR: The most effective therapy prescribed by the most careful clinician will control hypertension only if patients are motivated, and empathy builds trust and is a potent motivator.
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2007 Guidelines for the Management of Arterial Hypertension : The Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC).
Giuseppe Mancia,Guy De Backer,Anna F. Dominiczak,Renata Cifkova,Robert Fagard,Giuseppe Germanò,Guido Grassi,Anthony M. Heagerty,Sverre E. Kjeldsen,Stéphane Laurent,Krzysztof Narkiewicz,Luis M. Ruilope,Andrzej Rynkiewicz,Roland E. Schmieder,Harry A.J. Struijker Boudier,Alberto Zanchetti +15 more
TL;DR: 2007 Guidelines for the Management of Arterial Hypertension : The Task Force for the management of Arterspertension of the European Society ofhypertension (ESH) and of theEuropean Society of Cardiology (ESC).
Journal ArticleDOI
Doctor-patient communication: a review of the literature.
TL;DR: Consequences of specific physician behaviors on certain patient outcomes, namely: satisfaction, compliance/adherence to treatment, recall and understanding of information, and health status/psychiatric morbidity are described.
Journal ArticleDOI
Expanding patient involvement in care. Effects on patient outcomes.
TL;DR: In this paper, patients were helped to read their medical record and coached to ask questions and negotiate medical decisions with their physicians during a 20-minute session before their regularly scheduled visit.
Journal ArticleDOI
Hypertension Treatment and Control in Five European Countries, Canada, and the United States
Katharina Wolf-Maier,Richard S. Cooper,Holly Kramer,José R. Banegas,Simona Giampaoli,Michel Joffres,Neil R Poulter,Paola Primatesta,Birgitta Stegmayr,Michael Thamm +9 more
TL;DR: Low treatment and control rates in Europe, combined with a higher prevalence of hypertension, could contribute to a higher burden of cardiovascular disease risk attributable to elevated blood pressure compared with that in North America.