title: Implementation of home blood pressure monitoring in clinical practice.
abstract: To investigate the implementation of home blood pressure monitoring (HBPM) guidelines, a phone survey was performed in 366 primary care physicians (PCPs). Of the PCPs, 90% routinely used HBPM for white-coat hypertension, treatment titration, and diagnosis. Thirty percent trusted HBPM more than office measurements. Reported drawbacks were questionable reliability of patients' reports and devices inaccuracy. Thirty-one percent advised patients on device selection, 38% were aware of validated devices, and 69% reviewed (not averaged) the readings. Seventy-nine percent used higher than recommended threshold for hypertension diagnosis. Although PCPs routinely use HBPM, there are important gaps in their knowledge and educational activities are required.
authors: Lorraine University , Nancy , France.
authors: Christina
authors: C
authors: Tsakiri
authors: George S
authors: GS
authors: Stergiou
authors: Jean-Marc
authors: JM
authors: Boivin
mesh_terms: D000328:Adult; D000368:Aged; D018660:Blood Pressure Monitoring, Ambulatory / Q000592:standards / Q000706:statistics & numerical data*; D005260:Female; D006115:Greece; D006801:Humans; D006973:Hypertension / Q000175:diagnosis*; D008297:Male; D059468:Masked Hypertension / Q000175:diagnosis; D008875:Middle Aged; D010353:Patient Education as Topic; D017410:Practice Guidelines as Topic / Q000592:standards; D010818:Practice Patterns, Physicians'; D011320:Primary Health Care; D011795:Surveys and Questionnaires; D059466:White Coat Hypertension / Q000175:diagnosis