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Use of strategies to improve antihypertensive medication adherence within United States outpatient health care practices, DocStyles 2015-2016. | LitMetric

Use of strategies to improve antihypertensive medication adherence within United States outpatient health care practices, DocStyles 2015-2016.

J Clin Hypertens (Greenwich)

Division for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.

Published: February 2018

AI Article Synopsis

  • Patients' adherence to antihypertensive medications is crucial for managing high blood pressure, and while evidence-based strategies exist to enhance adherence, their combined use has not been thoroughly analyzed.* -
  • Data from 2015-2016 indicated that out of 1,590 healthcare professionals surveyed, the average number of strategies used to improve medication adherence was 5, with individual strategies varying significantly in usage rates.* -
  • Nurse practitioners and those in practices with standardized hypertension protocols were more likely to employ a greater number of adherence strategies, highlighting a need for more comprehensive support for patients with hypertension.*

Article Abstract

Patients' adherence to antihypertensive medications is key to controlling high blood pressure. Evidence-based strategies to improve adherence exist, but their use, individually and in combination, has not been described. 2015-2016 DocStyles data were analyzed to describe health care professionals' and their practices' use of 10 strategies to improve antihypertensive medication adherence across 3 categories: prescribing, education, and tracking/encouragement. Among 1590 respondents, a mean of using 5 strategies was reported, with individual strategy use ranging from 17.2% (providing patients adherence-related rewards) to 69.4% (prescribing once-daily regimens). Those with higher odds of using ≥7 strategies and strategies across all 3 categories included: (1) nurse practitioners compared to family practitioners/internists and (2) health care professionals in practices with standardized hypertension treatment protocols who routinely recommend home blood pressure monitor use compared to respondents without those characteristics. Despite using an array of evidence-based adherence-promoting strategies, additional opportunities exist for health care professionals to provide adherence support among hypertensive patients.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8030855PMC
http://dx.doi.org/10.1111/jch.13188DOI Listing

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