Perception of hypertension management by patients and doctors in Asia: potential to improve blood pressure control.

Q1 Medicine
Asia Pacific Family Medicine Pub Date : 2015-02-11 eCollection Date: 2015-01-01 DOI:10.1186/s12930-015-0018-3
Abdul Rashid Abdul Rahman, Ji-Guang Wang, Gary Mak Yiu Kwong, Dante D Morales, Piyamitr Sritara, Renan Sukmawan
{"title":"Perception of hypertension management by patients and doctors in Asia: potential to improve blood pressure control.","authors":"Abdul Rashid Abdul Rahman,&nbsp;Ji-Guang Wang,&nbsp;Gary Mak Yiu Kwong,&nbsp;Dante D Morales,&nbsp;Piyamitr Sritara,&nbsp;Renan Sukmawan","doi":"10.1186/s12930-015-0018-3","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Hypertension is one of the world's most common health conditions and is a leading risk factor for mortality. Although blood pressure can be modified, there is a large proportion of patients whose blood pressure remains uncontrolled. The aim of this study, termed Edvantage 360°, was to gain a deeper understanding of hypertension management in Asia from the perspective of patients and doctors, and to propose strategies to improve blood pressure control.</p><p><strong>Methods: </strong>Conducted in Hong Kong, Indonesia, Malaysia, the Philippines, South Korea, Taiwan, and Thailand, Edvantage 360° was a mixed-methods observational study that used both qualitative and quantitative elements: qualitative interviews and focus groups with patients (N = 110), quantitative interviews with patients (N = 709), and qualitative interviews with doctors (N = 85).</p><p><strong>Results: </strong>This study found that, although there is good understanding of the causes and consequences of hypertension among Asian patients, there is a lack of urgency to control blood pressure. Doctors and patients have different expectations of each other and a divergent view on what constitutes successful hypertension management. We also identified a fundamental gap between the beliefs of doctors and patients as to who should be most responsible for the patients' hypertension management. In addition, because patients find it difficult to comply with lifestyle modifications (often because of a decreased understanding of the changes required), adherence to medication regimens may be less of a limiting factor than doctors believe.</p><p><strong>Conclusions: </strong>Doctors may provide better care by aligning with their patients on a common understanding of successful hypertension management. Doctors may also find it helpful to provide a more personalized explanation of any needed lifestyle modifications. The willingness of the doctor to adjust their patient interaction style to form a 'doctor-patient team' is important. In addition, we recommend that doctors should not attribute ineffectiveness of the treatment plan to patient non-adherence to medications, but rather adjust the medication regimen as needed.</p>","PeriodicalId":39050,"journal":{"name":"Asia Pacific Family Medicine","volume":"14 1","pages":"2"},"PeriodicalIF":0.0000,"publicationDate":"2015-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s12930-015-0018-3","citationCount":"53","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Asia Pacific Family Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s12930-015-0018-3","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2015/1/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 53

Abstract

Background: Hypertension is one of the world's most common health conditions and is a leading risk factor for mortality. Although blood pressure can be modified, there is a large proportion of patients whose blood pressure remains uncontrolled. The aim of this study, termed Edvantage 360°, was to gain a deeper understanding of hypertension management in Asia from the perspective of patients and doctors, and to propose strategies to improve blood pressure control.

Methods: Conducted in Hong Kong, Indonesia, Malaysia, the Philippines, South Korea, Taiwan, and Thailand, Edvantage 360° was a mixed-methods observational study that used both qualitative and quantitative elements: qualitative interviews and focus groups with patients (N = 110), quantitative interviews with patients (N = 709), and qualitative interviews with doctors (N = 85).

Results: This study found that, although there is good understanding of the causes and consequences of hypertension among Asian patients, there is a lack of urgency to control blood pressure. Doctors and patients have different expectations of each other and a divergent view on what constitutes successful hypertension management. We also identified a fundamental gap between the beliefs of doctors and patients as to who should be most responsible for the patients' hypertension management. In addition, because patients find it difficult to comply with lifestyle modifications (often because of a decreased understanding of the changes required), adherence to medication regimens may be less of a limiting factor than doctors believe.

Conclusions: Doctors may provide better care by aligning with their patients on a common understanding of successful hypertension management. Doctors may also find it helpful to provide a more personalized explanation of any needed lifestyle modifications. The willingness of the doctor to adjust their patient interaction style to form a 'doctor-patient team' is important. In addition, we recommend that doctors should not attribute ineffectiveness of the treatment plan to patient non-adherence to medications, but rather adjust the medication regimen as needed.

Abstract Image

Abstract Image

Abstract Image

亚洲患者和医生对高血压管理的看法:改善血压控制的潜力。
背景:高血压是世界上最常见的健康状况之一,也是导致死亡的主要危险因素。虽然血压可以调节,但仍有很大一部分患者的血压无法控制。这项名为Edvantage 360°的研究的目的是从患者和医生的角度更深入地了解亚洲的高血压管理,并提出改善血压控制的策略。方法:Edvantage 360°是一项混合方法观察性研究,在香港、印度尼西亚、马来西亚、菲律宾、韩国、台湾和泰国进行,采用定性和定量元素:对患者进行定性访谈和焦点小组访谈(N = 110),对患者进行定量访谈(N = 709),对医生进行定性访谈(N = 85)。结果:本研究发现,虽然对亚洲患者高血压的病因和后果有较好的了解,但对控制血压缺乏紧迫感。医生和患者对彼此有不同的期望,对成功的高血压治疗有不同的看法。我们还发现,医生和患者对于谁应该对患者的高血压管理负最大责任的看法存在根本差距。此外,由于患者发现很难遵守生活方式的改变(通常是因为对所需改变的了解减少),坚持药物治疗方案可能不像医生认为的那样是一个限制因素。结论:医生可以通过与患者就成功的高血压管理达成共识来提供更好的护理。医生可能也会发现,对任何需要改变的生活方式提供更个性化的解释是有帮助的。医生是否愿意调整与病人的互动方式,形成“医患团队”是很重要的。此外,我们建议医生不应将治疗方案的无效归因于患者不遵守药物治疗,而应根据需要调整药物治疗方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Asia Pacific Family Medicine
Asia Pacific Family Medicine Medicine-Family Practice
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信