ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2007
Hypertension guideline recommendations in general practice: awareness, agreement, adoption, and adherence.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 5 of them syntheses that pooled it.
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Who cites it
59 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Describing knowledge encounters in healthcare: a mixed studies systematic review and development of a classification.Implementation science : IS · 2017Pooled it
- Prevalence of systolic inter-arm differences in blood pressure for different primary care populations: systematic review and meta-analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016Pooled it
- Pooled it
- Patterns of 'leakage' in the utilisation of clinical guidelines: a systematic review.Postgraduate medical journal · 2011Pooled it
- Nurse led interventions to improve control of blood pressure in people with hypertension: systematic review and meta-analysis.BMJ (Clinical research ed.) · 2010Pooled it
- The impact of a digital guideline version on schizophrenia guideline knowledge: results from a multicenter cluster-randomized controlled trial.BMC medicine · 2024Trial
- Inter-arm blood pressure difference and mortality: a cohort study in an asymptomatic primary care population at elevated cardiovascular risk.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016Trial
- Guideline adherence for the management of cardiovascular disease in primary care: a scoping review.Family practice · 2026Article
- Higher systolic blood pressure difference in left not right upper limb is associated with all-cause mortality risk in a community-based population.Hypertension research : official journal of the Japanese Society of Hypertension · 2025Article
- Article
- Prevalence of interarm blood pressure difference is notably higher in women; the Viborg population-based screening program (VISP).BMC public health · 2024Article
- Association of interarm blood pressure difference with selected body circumferences among Walter Sisulu University community.BMC public health · 2024Article
- Inter-arm blood pressure difference and cardiovascular risk estimation in primary care: a pilot study.BJGP open · 2022Article
- Inter-arm blood pressure difference as a tool for predicting coronary artery disease severity.Open heart · 2022Article
- FAMILY PHYSICIAN OPINIONS ON ELECTRONIC TOOLS AND CARDIOVASCULAR DISEASE PREVENTION GUIDELINE AVAILABILITY, USAGE AND ADHERENCE IN CROATIA.Acta clinica Croatica · 2022Article
- Clinical relevance of double-arm blood pressure measurement and prevalence of clinically important inter-arm blood pressure differences in Indian primary care.Journal of clinical hypertension (Greenwich, Conn.) · 2022Article
- Factors facilitating clinical application of and adherence to evidence-based healthcare among medical professionals attending national competitions in Taiwan: a study based on the decomposed theory of planned behaviour.BMC medical education · 2022Article
- Referrals to, and characteristics of patients attending a specialist hypertension clinic.Journal of human hypertension · 2022Article
- Assessment of blood pressure skills and belief in clinical readings.American journal of preventive cardiology · 2021Article
- Evaluation of the reporting quality of clinical practice guidelines on pancreatic cancer using the RIGHT checklist.Annals of translational medicine · 2021Article
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4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGPs vary greatly in their clinical management of hypertension, for reasons that are poorly understood.
aimTo explore GPs' awareness of current hypertension guidelines and their self-reported implementation of them in clinical practice. DESIGN OF STUDY: Questionnaire survey via the internet.
settingPrimary care.
methodSurvey of GPs (n = 401), based on the 'awareness-to-adherence' model of behavioural change.
resultsWhile awareness of recommendations was high, agreement and adoption were often less so. Almost all practitioners (99%) were aware of the guidance on statin therapy but fewer than half (43%; 95% confidence interval [CI] 38-48%) adhered to the recommendation in practice. Three-quarters (77%) were aware that blood pressure should initially be measured in both arms, but only 30% agreed with the recommendation (95% CI = 26 to 34%), and 13% (95% CI = 10 to 16%) adhered to it. Although the adoption of a recommendation was usually consequent on agreement with it, 19% of GPs (95% CI = 15 to 23%) reported adherence to financially incentivised guidance on statin therapy without either being aware of it or in agreement with it. No significant association was found among age, sex, year of graduation, or post held and level of awareness, agreement, or adoption.
conclusionThe specific barrier and action needed to promote application of hypertension guidelines varies with each clinical action. Lack of awareness is seldom the problem. Most GPs are unlikely to implement elements of guidance they disagree with even if given financial incentives. High adherence requires a reflective workforce that can respond to the scientific evidence underpinning the guidance.
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