Patients' and general practitioners' views of what constitutes appropriate hypertension management.
OBJECTIVES: To explore how patients and general practitioners (GPs) construct the concept of appropriateness in the context of hypertension management. METHOD: Q-methodology was used. The study involved 120 patients and 12 GPs ranking 42 statements according to their degree of agreement or disagreem...
| Published in: | Journal of Health Services Research & Policy Vol. 10; no. 2; pp. 91 - 97 |
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| Main Authors: | , , |
| Format: | research tables/charts Journal Article |
| Published: |
Sage Publications Inc.
Apr2005
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106497633&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106497633 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13558196 8OE jtl: Journal of Health Services Research & Policy issn: 13558196 maglogo: N pubinfo: dt: Apr2005 vid: 10 iid: 2 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 106497633 106497633 2005119299 10.1258/1355819053559119 NLM15831191 106497633 ppf: 91 ppct: 6 formats: tig: atl: Patients' and general practitioners' views of what constitutes appropriate hypertension management. aug: au: Morecroft C Cantrill J Tully M affil: Research Associate, School of Pharmacy and Pharmaceutical Sciences, University of Manchester, Oxford Road, Manchester M13 9PL, UK; charles.morecroft@man.ac.uk sug: subj: Hypertension Psychosocial Factors Hypertension Therapy Patients Psychosocial Factors Physicians, Family Psychosocial Factors Funding Source Adult Aged Consumer Participation Data Analysis Software Data Analysis, Statistical Descriptive Statistics Factor Analysis Female Male Middle Age P-Value Purposive Sample Q-Sort Human Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Female Male ab: OBJECTIVES: To explore how patients and general practitioners (GPs) construct the concept of appropriateness in the context of hypertension management. METHOD: Q-methodology was used. The study involved 120 patients and 12 GPs ranking 42 statements according to their degree of agreement or disagreement when considering appropriate hypertension management. The statements, comprising both clinical and non-clinical attributes, were developed from a qualitative study. Factor analysis of the data, using PQMethod computer software, determined if any patterns were discernible.RESULTS: Patients (n = 92) and GPs (n = 10) exclusively clustered to six factors (factor loadings > or = 0.5, P <0.01), which accounted for 77% of the total variance. The findings indicated that patients and GPs consider appropriate hypertension management in different ways. The GPs indicated that they considered non-pharmacological measures highly important, whereas 72% of patients were ambivalent. The patients clustered to five appropriateness factors, which varied in the degree of involvement patients had, or wished to have, in their hypertension management. Of these five, two were chosen by 73 patients. CONCLUSION: GPs' views differ from those of patients and there is variation between patients, which has important implications for patient-centred care. Further application of Q-methodology to explore patients' views of appropriateness of other medical conditions would be valuable. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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