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Use of strategies to improve antihypertensive medication adherence within United States outpatient health care practices, DocStyles 2015-2016
- Source :
- J Clin Hypertens (Greenwich)
- Publication Year :
- 2018
- Publisher :
- Wiley, 2018.
-
Abstract
- Patients’ adherence to antihypertensive medications is key to controlling high blood pressure. Evidence‐based strategies to improve adherence exist, but their use, individually and in combination, has not been described. 2015‐2016 DocStyles data were analyzed to describe health care professionals’ and their practices’ use of 10 strategies to improve antihypertensive medication adherence across 3 categories: prescribing, education, and tracking/encouragement. Among 1590 respondents, a mean of using 5 strategies was reported, with individual strategy use ranging from 17.2% (providing patients adherence‐related rewards) to 69.4% (prescribing once‐daily regimens). Those with higher odds of using ≥7 strategies and strategies across all 3 categories included: (1) nurse practitioners compared to family practitioners/internists and (2) health care professionals in practices with standardized hypertension treatment protocols who routinely recommend home blood pressure monitor use compared to respondents without those characteristics. Despite using an array of evidence‐based adherence‐promoting strategies, additional opportunities exist for health care professionals to provide adherence support among hypertensive patients.
- Subjects :
- Male
medicine.medical_specialty
Attitude of Health Personnel
Nurse practitioners
Endocrinology, Diabetes and Metabolism
030204 cardiovascular system & hematology
Medication Adherence
Odds
03 medical and health sciences
0302 clinical medicine
Surveys and Questionnaires
Outpatients
Health care
Internal Medicine
medicine
Hypertension general
Humans
Nurse Practitioners
030212 general & internal medicine
Practice Patterns, Physicians'
Antihypertensive Agents
Antihypertensive medication
Hypertension treatment
business.industry
Physicians, Family
Patient Preference
Blood Pressure Monitoring, Ambulatory
Quality Improvement
United States
Hypertension Control
Blood pressure
Evidence-Based Practice
Family medicine
Hypertension
Female
Tracking (education)
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 15246175
- Volume :
- 20
- Database :
- OpenAIRE
- Journal :
- The Journal of Clinical Hypertension
- Accession number :
- edsair.doi.dedup.....778188a7ff08ce355a4a76366ddd503d