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Identifying and exploring barriers to managing elevated blood pressure: Using qualitative means to get quantitative evidence into practice

Citation

Howes, FS and Hansen, EC and Nelson, MR, Identifying and exploring barriers to managing elevated blood pressure: Using qualitative means to get quantitative evidence into practice, International Public Health Journal, 3, (4) pp. 411-419. ISSN 1947-4989 (2011) [Refereed Article]


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Copyright Statement

Copyright 2011 Nova Science Publishers.

Official URL: https://www.novapublishers.com/catalog/

Abstract

Guidelines are widely used as a method for translating research evidence into clinical advice for medical practitioners. However, in many cases the uptake of guidelines is poor, for example, hypertension management guidelines. We conducted a qualitative research project to explore the barriers to the optimal treatment of hypertension by GPs. In our research we found that rather than a lack of knowledge and awareness of the existing hypertension guidelines, other barriers were operating such as: clinical uncertainty about the true underlying blood pressure and distrust of the technology used to measure it; distrust toward the evidence underpinning the management of hypertension; patient age, gender and co-morbidity; perceived patient attitude; clinical inertia; whole-person care and systems issues such as lack of resources and lack of time in consultations. After presenting our research findings to a group of researchers and clinicians who develop guidelines (in our case the High Blood Pressure Research Council of Australia) they chose to delay the intended production of a new guideline and to instead investigate possible methods of improving the uptake of existing guidelines using qualitative methods. This demonstrates the usefulness of engaging both the end-users and producers of the evidence/guidelines in the translational process of change.

Item Details

Item Type:Refereed Article
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Primary Health Care
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Cardiovascular System and Diseases
Author:Howes, FS (Dr Faline Howes)
Author:Hansen, EC (Dr Emily Hansen)
Author:Nelson, MR (Professor Mark Nelson)
ID Code:73421
Year Published:2011
Deposited By:Medicine (Discipline)
Deposited On:2011-10-05
Last Modified:2017-11-06
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