title: Hypertension Attitude PersPEctives and Needs (HAPPEN): A Real-World Survey of Physicians and Patients With Hypertension in China.
abstract: The Hypertension Attitude PersPEctives and Needs (HAPPEN) survey was a real-world survey of cardiologists, nephrologists, and patients with treated hypertension at level 3 hospitals in China. It aimed to characterize the attitudes and behavior of physicians and patients and to identify possible causes of poor blood pressure (BP) control. Randomly selected participants (100 cardiologists, 30 nephrologists, 400 patients) completed face-to-face interviews investigating BP control rates, consulting behavior, prescribing patterns, and attitudes toward hypertension management. Perceived levels of BP control were high; 70% of physicians and 85% of patients believed that BP targets were achieved, despite only 31% of patients achieving targets. Physician satisfaction with control rates and patient satisfaction with treatment were high. Differences in perceived and actual levels of BP control may be driving therapeutic inertia. In combination with inadequate patient evaluation and support services, therapeutic inertia may contribute to poor BP control among patients with treated hypertension in China.
authors: Discipline of Medicine, Memorial University of Newfoundland, St. John's, Canada.
authors: Ross D
authors: RD
authors: Feldman
authors: Beijing Hypertension League Institute, Beijing, China.|Department of Cardiology, Fuwai Cardiology Hospital, Beijing, China.
authors: Lisheng
authors: L
authors: Liu
authors: Department of Epidemiology, Beijing Anzhen Hospital, Beijing, China.
authors: Zhaosu
authors: Z
authors: Wu
authors: Department of Cardiology, Fuwai Cardiology Hospital, Beijing, China.
authors: Yuqing
authors: Y
authors: Zhang
authors: Department of Nephrology, Sun Yat-sen University, Guangzhou, China.
authors: Xueqing
authors: X
authors: Yu
authors: Beijing Hypertension League Institute, Beijing, China.
authors: Xin-Hua
authors: XH
authors: Zhang
mesh_terms: D000959:Antihypertensive Agents / Q000627:therapeutic use; D001364:Awareness; D001794:Blood Pressure / Q000187:drug effects*; D002681:China / Q000453:epidemiology; D019983:Guideline Adherence; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D006973:Hypertension / Q000188:drug therapy*; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D010465:Perception; D010820:Physicians; D017410:Practice Guidelines as Topic; D016896:Treatment Outcome
chemical_list: D000959:Antihypertensive Agents