Evidence map›Paper›PMID 30300397›Full record

ArticlePloS one2018

The adoption of hypertension reference framework: An investigation among primary care physicians of Hong Kong.

Yuan Fang, Harry H X Wang, Miaoyin Liang, Ming Sze Yeung, Colette Leung, Chun Hei Chan, Wilson Cheung, Jason L W Huang, Junjie Huang, Regina W S Sit and 2 more

Abstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Yuan FangSchool of Public Health and Primary Care, Chinese University of Hong Kong, Shatin, Hong Kong, Hong Kong Special Administrative Region, China.
Harry H X WangSchool of Public Health, Sun Yat-Sen University, Guangzhou, People's Republic of China.
Miaoyin LiangSchool of Public Health and Primary Care, Chinese University of Hong Kong, Shatin, Hong Kong, Hong Kong Special Administrative Region, China.
Ming Sze YeungSchool of Public Health and Primary Care, Chinese University of Hong Kong, Shatin, Hong Kong, Hong Kong Special Administrative Region, China.
Colette LeungSchool of Public Health and Primary Care, Chinese University of Hong Kong, Shatin, Hong Kong, Hong Kong Special Administrative Region, China.
Chun Hei ChanSchool of Public Health and Primary Care, Chinese University of Hong Kong, Shatin, Hong Kong, Hong Kong Special Administrative Region, China.
Wilson CheungSchool of Public Health and Primary Care, Chinese University of Hong Kong, Shatin, Hong Kong, Hong Kong Special Administrative Region, China.
Jason L W HuangSchool of Public Health and Primary Care, Chinese University of Hong Kong, Shatin, Hong Kong, Hong Kong Special Administrative Region, China.
Junjie HuangSchool of Public Health and Primary Care, Chinese University of Hong Kong, Shatin, Hong Kong, Hong Kong Special Administrative Region, China.
Regina W S SitSchool of Public Health and Primary Care, Chinese University of Hong Kong, Shatin, Hong Kong, Hong Kong Special Administrative Region, China.
Samuel Y S WongSchool of Public Health and Primary Care, Chinese University of Hong Kong, Shatin, Hong Kong, Hong Kong Special Administrative Region, China.
Martin C S WongSchool of Public Health and Primary Care, Chinese University of Hong Kong, Shatin, Hong Kong, Hong Kong Special Administrative Region, China.ORCID 0000-0001-7030-9853

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Hong Kong Government released a Reference Framework (RF-HT) for Hypertension Care for Adults in Primary Care Settings since 2010. No studies have evaluated its adoption by primary care physicians (PCPs) since its release.

aimWe aimed to evaluate the level of PCPs' adoption of the RF-HT and the potential barriers of its use in family practice. DESIGN AND

settingA cross-sectional study was conducted by a self-administered validated survey among all PCPs in Hong Kong through various means.

methodsWe assessed the level of and factors associated with its adoption by multivariate logistic regression modelling.

resultA total of 3,857 invitation episodes were sent to 2,297 PCPs in 2014-2015. We received 383 completed questionnaires. The average score of adoption was 3.43 out of 4.00, and 47.5% of PCPs highly adopted RF-HT in their daily consultations. Male practitioners (adjusted odds ratio [aOR] = 0.524, 95% CI = 0.290-0.948, p = 0.033) and PCPs of public sector (aOR = 0.524, 95% CI = 0.292-0.940, p = 0.030) were significantly less likely to adopt the RF-HT. PCPs with higher training completion or being academic fellow are more likely to adopt RF-HT than those who were "nil to basic training completion" (aOR = 0.479, 95% CI = 0.269-0.853, p = 0.012) or "higher trainee" (aOR = 0.302, 95% CI = 0.093-0.979, p = 0.046). Three most-supported suggestions on RF-HT improvement were simplification of RF-HT, provision of pocket version and promoting in patients.

conclusionAmong PCP respondents, the adoption level of the RF-HT was high. These findings also highlighted some factors associated with its adoption that could inform targeted interventions for enhancing its use in clinical practice.

Indexed as

Guideline AdherencePhysicians, Primary CarePractice Guidelines as TopicPrimary Health CareAdultCross-Sectional StudiesFemaleHong KongHumansHypertensionMaleMiddle Aged

Identifiers

PMID30300397
PMCPMC6177174

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.