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Management of high blood pressure in clinical practice: Perceptible qualitative differences in approaches utilized by clinicians
The Journal of Clinical Hypertension, 11/12/08

Nwachuku CE et al. – For management of high blood pressure (BP) in clinical practice, differences are discernible between less vs more successful physicians, with the more successful physicians using a pt-centered clinical approach to BP awareness and management.

• Recruitment of a group of physicians from the investigators participating in the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT) with a greater (more successful) or lesser (less successful) proportion of trial pts meeting BP control goals
• Qualitative focus group methods to identify similarities and differences in practice behaviors

• Successful and less successful physicians had similarities in knowledge and practice behaviors regarding awareness of treatment guidelines, approaches to diagnosis, use of pharmacologic management, and the opinion that systolic BP guidelines should consider a pt age
• Discernible differences between 2 physician groups in views on physician-pt relationships
• Physicians from less successful group were more paternalistic with pts
• Physicians from more successful group were more likely to use a pt-centered clinical approach to BP awareness and management

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