title: Patient and provider perceptions of hypertension treatment: do they agree?
abstract: The objective of our study was to explore physician and patient attitudes regarding hypertension management. One hundred forty-five primary care providers and 189 patients with hypertension at 6 Veterans Administration clinics completed a hypertension survey. Fifty-one percent of patients were at their blood pressure goal, 58% were on guideline-concordant therapy, and 31% achieved both. Patients and providers agreed that physicians were a "very/extremely" useful source of information but differed in perceived value of pharmacists, educational material, advertising, and the Internet. They also agreed on the value of preventing cardiovascular events but differed in their perceptions of the importance of medication costs, side effects, and national guidelines. Blood pressure control and guideline-concordant therapy was higher than most prior reports, but with opportunity for improvement. Patients and providers differed in perceived value of various aspects of hypertension management; this information may help to determine trial design and quality improvement strategies in the future.
authors.affiliation: Center for Research in the Implementation of Innovative Strategies in Practice (CSIISP) at the Iowa City Veterans Affairs Healthcare Systems, Iowa City, IA 52246, USA. peter.kaboli@va.gov
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Kaboli
authors.forename: Daniel M
authors.initials: DM
authors.lastname: Shivapour
authors.forename: Michael S
authors.initials: MS
authors.lastname: Henderson
authors.forename: Mitchell J
authors.initials: MJ
authors.lastname: Barnett
authors.forename: Areef
authors.initials: A
authors.lastname: Ishani
authors.forename: Barry L
authors.initials: BL
authors.lastname: Carter
mesh_terms: D000368:Aged; D000959:Antihypertensive Agents / Q000009:adverse effects / Q000191:economics / Q000627:therapeutic use; D001294:Attitude to Health; D001794:Blood Pressure / Q000187:drug effects; D002318:Cardiovascular Diseases / Q000517:prevention & control; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006787:Hospitals, Veterans; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000503:physiopathology; D007484:Iowa; D008297:Male; D008875:Middle Aged; D008910:Minnesota; D010349:Patient Compliance; D010353:Patient Education as Topic / Q000639:trends; D017060:Patient Satisfaction; D010817:Physician-Patient Relations
chemical_list: D000959:Antihypertensive Agents