title: What are specialist and primary care clinicians' attitudes and practices regarding home blood pressure monitoring for hypertensive patients?
abstract: Practice guidelines recommend home blood pressure monitoring (HBPM) in the management of hypertension. We surveyed generalists and subspecialists regarding HBPM attitudes and practices in hypertensive patients. Both use HBPM for diagnostic and therapeutic purposes but question the evidence regarding HBPM efficacy. Standardized implementation and monitoring methods to improve HBPM practices are absent. Both generalists and specialists have concerns about HBPM instrument capabilities and perceive patient physical limitations and negative attitudes as additional barriers to effective blood pressure monitoring outside the office.
authors.affiliation: Department of Internal Medicine, University of Missouri - Columbia School of Medicine, USA.
authors.forename: William C
authors.initials: WC
authors.lastname: Steinmann
authors.forename: Rebecca
authors.initials: R
authors.lastname: Chitima-Matsiga
authors.forename: Sarika
authors.initials: S
authors.lastname: Bagree
mesh_terms: D001291:Attitude of Health Personnel; D018660:Blood Pressure Monitoring, Ambulatory / Q000295:instrumentation / Q000592:standards*; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000628:therapy*; D008923:Missouri; D058007:Physicians, Primary Care; D010818:Practice Patterns, Physicians'; D012648:Self Care; D020377:Self Efficacy