Attitudes of Primary Care Providers and Recommendations of Home Blood Pressure Monitoring—DocStyles, 2010
Article first published online: 14 JAN 2013
©2013 Wiley Periodicals, Inc.
The Journal of Clinical Hypertension
Volume 15, Issue 4, pages 224–229, April 2013
How to Cite
J Clin Hypertens (Greenwich). 2013;00:00–00© 2013 Wiley Periodicals, Inc.
- Issue published online: 3 APR 2013
- Article first published online: 14 JAN 2013
- Manuscript Accepted: 18 NOV 2012
- Manuscript Revised: 9 NOV 2012
- Manuscript Received: 12 JUL 2012
To assess primary care providers' (PCPs) opinions related to recommending home blood pressure monitoring (HBPM) for their hypertensive patients, the authors analyzed a Web-based 2010 DocStyles survey, which included PCPs' demographics, health-related behaviors, recommendations on HBPM, views of patient knowledge, and use of continuing medical education. Of the 1254 PCPs who responded, 539 were family practitioners, 461 were internists, and 254 were nurse practitioners; 32% recommended HBPM to ≥90% of their patients and 26% recommended it to ≤40% of their patients. Nurse practitioners were significantly more likely to recommend HBPM than were internists (odds ratio, 0.55; 95% confidence interval, 0.40–0.78). The top reasons for not recommending HBPM were “patient can't afford it” and “patient doesn't need it.” A total of 20% of PCPs indicated that their patients were poor to lower middle class; these PCPs were less likely to recommend HBPM to their patients than were those PCPs with most patients in higher economic classes. Additional efforts are needed to provide education to providers, especially physicians, about the benefits of HBPM in improved and cost-effective blood pressure control in the United States.