Implementation of guidelines for diagnosing and treating hypertension.
Hypertension is an important modifiable risk factor for cardiovascular disease. Despite compelling evidence for the benefits of various treatment strategies and an extensive program of public and professional education, management of hypertension remains suboptimal with marked interphysician variabi...
| Publicado en: | Disease Management & Health Outcomes Vol. 9; no. 7; pp. 361 - 370 |
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| Autores principales: | , |
| Formato: | review tables/charts Journal Article |
| Publicado: |
Springer Nature
Jul2001
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107053509&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107053509 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11738790 C4Y jtl: Disease Management & Health Outcomes issn: 11738790 maglogo: N pubinfo: dt: Jul2001 vid: 9 iid: 7 pid: 87227 pub: Springer Nature artinfo: ui: 107053509 2001084568 10.2165/00115677-200109070-00002 107053509 ppf: 361 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Implementation of guidelines for diagnosing and treating hypertension. aug: au: McAlister FA Padwal R affil: Division of General Internal Medicine, University of Alberta Hospital, Edmonton, Alberta, Canada sug: subj: Practice Guidelines Utilization Hypertension Diagnosis Hypertension Therapy Decision Making, Clinical Health Services Accessibility Trends Hypertension Drug Therapy ab: Hypertension is an important modifiable risk factor for cardiovascular disease. Despite compelling evidence for the benefits of various treatment strategies and an extensive program of public and professional education, management of hypertension remains suboptimal with marked interphysician variability and inconsistent application of clinical trial evidence. Clinical practice guidelines are often cited as a potential means to improve hypertension management, although trials evaluating the impact of guidelines for various conditions have reported mixed results. Multiple potential barriers to the successful implementation of guidelines exist: these can be broadly classified as arising from the clinician, the patient, the environment, or the guideline itself. The probability of successfully implementing a guideline is highest if multifactorial approaches are pursued, such as: (i) the generation of locally endorsed evidence-based guidelines; (ii) dissemination of the guidelines by academic detailing; (iii) point-of-care reminder systems; and (iv) multiple reinforcements via local opinion leaders and audit with patientspecific feedback. pubtype: Academic Journal doctype: review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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