Barriers to Optimal Clinician Guideline Adherence in Management of Markedly Elevated Blood Pressure: A Qualitative Study.

ABSTRACT:

Importance

Hypertension poses a substantial public health challenge. Despite clinical practice guidelines for hypertension management, clinician adherence to these guidelines remains suboptimal.

Objective

To develop a taxonomy of suboptimal adherence scenarios for severe hypertension and identify barriers to guideline adherence.

Design, setting, and participants

This qualitative content analysis using electronic health records (EHRs) of Yale New Haven Health System included participants who had at least 2 consecutive visits with markedly elevated blood pressure (BP; defined as at least 2 consecutive readings of systolic BP ≥160 mm Hg and diastolic BP ≥100 mm Hg) between January 1, 2013, and December 31, 2021, and no prescription for antihypertensive medication within

SUBMITTER: Lu Y 

PROVIDER: S-EPMC11304113 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature