Using a problem detection study (PDS) to identify and compare health care provider and consumer views of antihypertensive therapy


Autoria(s): Wade, A. H.; Weir, D. N.; Cameron, A. P.; Tett, S. E.
Contribuinte(s)

G. Beevers

F. Messerli

H. Ueshima

Data(s)

01/01/2003

Resumo

The objectives of this study were to ascertain consumer knowledge and behaviour about hypertension and treatment and to compare these with health care providers' perceptions (of 'most' consumers). The design for the study was a problem detection study (PDS): focus groups and then survey. Focus groups and survey participants were convenience samples of consumers, doctors, nurses and pharmacists. The main outcome measures were agreement on a 5-point Likert scale with statements about consumers' knowledge and behaviour about high blood pressure and medication. The survey identified areas of consensus and disagreement between consumers and health providers. While general knowledge and concordance with antihypertensive therapy among consumers was good, consequences such as eye and kidney disease, interactions with herbal medicines, and how to deal with missing a dose were less well known. Side effects were a problem for over one-quarter of participants, and cost was a problem in continuing therapy. Half the consumers had not received sufficient written information. Providers overall disagreed that most consumers have an adequate understanding of the condition. They agreed that most consumers adhere to therapy and can manage medicines; and about their own profession's role in information provision and condition management. Consumers confirmed positive provider behaviour, suggesting opportunities for greater communication between providers about actions taken with their consumers. In conclusion, the PDS methodology was useful in identifying consumer opinions. Differences between consumer and provider responses were marked, with consumers generally rating their knowledge and behaviour above providers' ratings of 'most' consumers. There are clear gaps to be targeted to improve the outcomes of hypertension therapy.

Identificador

http://espace.library.uq.edu.au/view/UQ:66528

Idioma(s)

eng

Publicador

Nature Publishing

Palavras-Chave #Peripheral Vascular Disease #Consumers #Disease Management #Problem Detection Study #Hypertensive Patients #Pharmaceutical Care #Swedish Pharmacies #Drug-use #Adherence #Intervention #Perceptions #Information #Australia #Medicines #C1 #321299 Public Health and Health Services not elsewhere classified #730106 Cardiovascular system and diseases
Tipo

Journal Article