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Related Experiment Videos

Managing hypertension in general practice: can we do better?

J Hosie1, I Wiklund

  • 1Department of Public Health and Primary Health Care, University of Bergen, Norway.

Journal of Human Hypertension
|July 1, 1995
PubMed
Summary

Hypertension treatment in Europe shows a significant gap between perceived and actual blood pressure (BP) control. Most patients and doctors overestimate BP control, highlighting a need for better treatment strategies.

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Area of Science:

  • Cardiology
  • Public Health
  • Clinical Pharmacy

Background:

  • Hypertension remains a significant global health challenge.
  • Effective blood pressure (BP) control is crucial for preventing cardiovascular complications.
  • Discrepancies in perception of treatment success can hinder optimal patient outcomes.

Purpose of the Study:

  • To investigate the differences between physician perception, patient belief, and actual blood pressure (BP) control in European hypertension management.
  • To identify perceived reasons for treatment failure from both doctor and patient perspectives.
  • To inform the development of improved hypertension treatment strategies.

Main Methods:

  • Two European surveys were conducted, involving over 23,000 cardiovascular patients and 1,700 doctors (Cardiomonitor Study).

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  • A second survey assessed attitudes among 301 general practitioners and 300 patients in Italy, France, and the UK.
  • Data collected included patient BP control, physician and patient perceptions of control, and reasons for treatment failure.

    • Main Results:

    • Only 37% of patients achieved target BP, contrasting sharply with physician (76%) and patient (95%) beliefs of good BP control.
    • Significant discrepancies were found in perceived reasons for treatment failure.
    • Doctors cited poor compliance, while patients cited treatment efficacy and side-effects.

    Conclusions:

    • A substantial gap exists between actual and perceived blood pressure control in European hypertension management.
    • Patient-reported compliance may not accurately reflect actual adherence.
    • Effective, well-tolerated, once-daily antihypertensive medications are needed to improve quality of life and treatment adherence.