The relation of physicians to the goal blood pressure achievement and to the recommendations of arterial hypertension management. The problem of physicians’ inertia
https://doi.org/10.18705/1607-419X-2012-18-3-191-198
Abstract
Objective. To assess the attitude of primary care physicians in Russia to antihypertensive therapy administration and their readiness to achieve goal blood pressure, as well as causes of physicians’ inertia. Design and methods. The survey was performed in St Petersburg, Leningrad region (North-West region) and Irkutsk. The questionnaire was filled by 790 primary doctors (368 from St Petersburg, 57 in Leningrad region and 365 in Irkutsk). Results. More than half of Russian physicians were found to be predisposed to clinical inertia and the structure of its reasons is generally the same as in USA and Western Europe. The most frequent causes are contradictions between the good knowledge of the guidelines and subjective barriers to follow them in practice, especially in the elderly patients, overestimation of treatment success. Economical reasons are also relevant while lack of knowledge is less important.
About the Authors
I. V. Emelyanov
Almazov Federal Heart, Blood and Endocrinology Centre
Russian Federation
Russian Federation
K. V. Protasov
Irkutsk Academy of Postgraduate Advanced Medical Training
Russian Federation
Russian Federation
A. A. Dzizinskiy
Irkutsk Academy of Postgraduate Advanced Medical Training
Russian Federation
Russian Federation
A. O. Konradi
Almazov Federal Heart, Blood and Endocrinology Centre
Russian Federation
Russian Federation
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Review
For citations:
Emelyanov I.V., Protasov K.V., Dzizinskiy A.A., Konradi A.O. The relation of physicians to the goal blood pressure achievement and to the recommendations of arterial hypertension management. The problem of physicians’ inertia. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2012;18(3):191-198. (In Russ.) https://doi.org/10.18705/1607-419X-2012-18-3-191-198
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