Diagnosing Hypertension in Primary Care Clinics According to Current Guidelines
| Autor: | Sarah Woolsey, Barry M. Stults, Brittany Brown, Michael F. Friedrichs, Brenda Ralls |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Ambulatory blood pressure Advisory Committees Primary health care Primary care Computer-assisted web interviewing 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Utah Medicine Humans 030212 general & internal medicine Primary Health Care business.industry Task force Public Health Environmental and Occupational Health Blood Pressure Determination Professional Practice Gaps Blood pressure Bp monitoring Family medicine Ambulatory Hypertension Practice Guidelines as Topic Guideline Adherence Family Practice business |
| Zdroj: | Journal of the American Board of Family Medicine : JABFM. 30(2) |
| ISSN: | 1558-7118 |
| Popis: | Purpose This descriptive study examines hypertension diagnostic practices in Utah primary care clinics relative to the 2015 US Preventive Services Task Force (USPSTF) recommendations for the accurate diagnosis of hypertension. We assessed clinic procedures in place to facilitate accurate in-office and out-of-office blood pressure (BP) measurement. Methods An online questionnaire was administered to 321 primary care clinics. We compared current clinic BP measurement practices with the USPTF recommendations and assessed the level of adherence to the recommendations by level of clinic integration with a hospital. Results Of the 321 primary care clinics that received the assessment, 123 (38.3%) completed the questionnaire. Clinics varied significantly in their ability to provide accurate in-office measurement, ranging from 57.5% to 93.5% of clinics complying with USPSTF recommendations. Only 25.2% of clinics reported having access to ambulatory monitoring and 36.6% had instructional materials for accurate home BP monitoring. Clinics integrated with a hospital were more likely to report adherence to recommendations than solo or independent clinics (36.4% vs 10.5%; P Conclusion This assessment shows that many primary care clinics are not well prepared to implement the USPSTF guidelines for accurate diagnosis of hypertension. Most office practices will benefit from support to develop their capacities. |
| Databáze: | OpenAIRE |
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