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General practitioner's reported use of clinical guidelines for hypertension and ambulatory blood pressure.

Flynn, E
Flavin, A
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Date
2012-03
Date Submitted
Keywords
Other Subjects
Subject Mesh
Attitude of Health Personnel
Blood Pressure Monitoring, Ambulatory
Female
General Practice
Guideline Adherence
Humans
Hypertension
Ireland
Male
Practice Guidelines as Topic
Primary Health Care
Time Factors
Planned Date
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Alternative Titles
Abstract
ABPM is an invaluable clinical tool, as it has been shown to improve blood pressure control in primary care. Many clinical guidelines for hypertension advocate ambulatory blood pressure monitoring. This study aims to quantify the use of clinical guidelines for hypertension and to explore the role of ABPM in Primary Care. A questionnaire survey was sent to GPs working in the West of Ireland. 88% (n=139) of GPs use clinical guidelines that recommend the use of ABPM. 82% (n=130) of GPs find use of clinic blood pressure monitoring insufficient for the diagnosis and monitoring of hypertension. Despite good access to ABPM, GPs report lack of remuneration, 72% (n=116), cost 68% (n=108), and lack of time, 51% (n=83) as the main limiting factors to use of ABPM. GPs recognise the clinical value of ABPM, but this study identifies definite barriers to the use of ABPM in Primary Care.
Language
en
ISSN
0332-3102
eISSN
ISBN
DOI
PMID
22558820
PMCID
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