Implementation of Home Blood Pressure Monitoring in Clinical Practice

Abstract

To investigate the implementation of home blood pressure monitoring (HBPM) guidelines, a phone survey was performed in 366 primary care physicians (PCPs). Of the PCPs, 90% routinely used HBPM for white-coat hypertension, treatment titration, and diagnosis. Thirty percent trusted HBPM more than office measurements. Reported drawbacks were questionable reliability of patients' reports and devices inaccuracy. Thirty-one percent advised patients on device selection, 38% were aware of validated devices, and 69% reviewed (not averaged) the readings. Seventy-nine percent used higher than recommended threshold for hypertension diagnosis. Although PCPs routinely use HBPM, there are important gaps in their knowledge and educational activities are required.

Implementation of home blood pressure monitoring among French GPs: A long and winding road

“…Regardless of the country and despite the differences in health care systems, whether it be in the United Kingdom, Germany or France, GPs have all put forward logistical difficulties and lack of time to explain their lack of HBPM use in daily practice. [26,37,38]. In addition to the above, other barriers for HBPM implementation emerged from our analysis.…”

A stakeholder co-design approach for developing a community pharmacy service to enhance screening and management of atrial fibrillation

“…This is consistent with existing literature on educational needs in AF, which acknowledges patient education lays the foundation to change patient’s attitudes, behaviours and so achieve better outcomes and must address the two key challenges reported in this study (i.e., enhance awareness/knowledge about AF and manage the physiological component associated with AF) [36]. Besides, given the self-monitoring component, patient education also becomes relevant to ensure the quality of self-monitoring [37], which is an acknowledged international concern [10, 11, 38]. Education in this regard must address the suitable recommendations for self-monitoring [10, 11].…”

Knowledge, perception and practice of Québec nurses for ambulatory and clinic blood pressure measurement methods: are we there yet?

“…Such results mean that in practice, nurses could disregard the patients who are truly hypertensive patients, reducing appropriate diagnosis and treatment. Studies in other countries, including some performed with doctors, nurses and pharmacists, have shown similar results [34–39].…”