Physicians' knowledge, awareness and instructions of home blood pressure monitoring: Asia HBPM survey in Taiwan.

IF 4.3 2区医学 Q1 PERIPHERAL VASCULAR DISEASE

Hypertension Research Pub Date : 2024-10-08 DOI:10.1038/s41440-024-01925-y

Yi-Syuan Lin, Hung-Ju Lin, Tzung-Dau Wang

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Abstract

Home blood pressure monitoring (HBPM) has been proven to be reliable for both diagnosis and treatment of hypertension. Experts from 11 Asian countries collaborated to design a questionnaire aimed at healthcare workers, seeking to understand the current status of HBPM. A cross-sectional survey was conducted among healthcare professionals from Taiwan between November 2019 and June 2021. A total of 779 physicians in Taiwan participated in the survey. Nearly all physicians (97.7%) reported recommending HBPM to their patients. There was a 14.6% difference between the HBPM device ownership rate (60.2%) and the proportion of patients who measured their home blood pressures (45.6%). Among physicians who recommended HBPM, only 15.5% cited HBPM diagnostic threshold values consistent with the guidelines. Among all respondents, 85.9% and 48.9% viewed HBPM as highly recognized by physicians and patients, respectively. Lack of guidelines for HBPM and concern to reliability and accuracy of the HBPM devices were identified as key barriers to HBPM recognition. This study indicates that there is still room for improvement among healthcare providers in their understanding and implementation of HBPM in Taiwan.

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医生对家庭血压监测的了解、认识和指导：台湾亚洲 HBPM 调查。

事实证明，家庭血压监测（HBPM）对高血压的诊断和治疗都是可靠的。来自 11 个亚洲国家的专家合作设计了一份针对医护人员的调查问卷，旨在了解 HBPM 的现状。在 2019 年 11 月至 2021 年 6 月期间，对台湾的医护人员进行了横断面调查。共有 779 名台湾医生参与了调查。几乎所有医生（97.7%）都表示会向患者推荐 HBPM。HBPM设备拥有率（60.2%）与测量家庭血压的患者比例（45.6%）之间相差14.6%。在推荐使用 HBPM 的医生中，仅有 15.5% 的医生提出了与指南一致的 HBPM 诊断阈值。在所有受访者中，分别有 85.9% 和 48.9% 的人认为 HBPM 得到了医生和患者的高度认可。缺乏 HBPM 指南以及对 HBPM 设备可靠性和准确性的担忧被认为是 HBPM 获得认可的主要障碍。这项研究表明，在台湾，医疗服务提供者对 HBPM 的理解和实施仍有改进的余地。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hypertension Research 医学-外周血管病

CiteScore

7.40

自引率

16.70%

发文量

249

审稿时长

3-8 weeks

期刊介绍： Hypertension Research is the official publication of the Japanese Society of Hypertension. The journal publishes papers reporting original clinical and experimental research that contribute to the advancement of knowledge in the field of hypertension and related cardiovascular diseases. The journal publishes Review Articles, Articles, Correspondence and Comments.