ArticleTranslational behavioral medicine2020
Barriers to hypertension and diabetes management in primary health care in Argentina: qualitative research based on a behavioral economics approach.
Article in Translational behavioral medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Barriers, Enablers and Strategies for the Treatment and Control of Hypertension in Nepal: A Systematic Review.Frontiers in cardiovascular medicine · 2021Pooled it
- Remote Blood Pressure Monitoring With Social Support for Patients With Hypertension: A Randomized Clinical Trial.JAMA network open · 2024Trial
- From "Rational Agent" to "Bounded Rationality": A Qualitative Study of Decision-Making Biases in Exercise Behavior Among Post-PCI Patients with Coronary Heart Disease.Patient preference and adherence · 2026Article
- Article
- Self-care Practices of Hypertensive Adult Female Patients in the City of Marikina amidst the COVID-19 Lockdown: A Phenomenological Inquiry.Acta medica Philippina · 2026Article
- Barriers to Anti-Hypertensive Medication Adherence Among Patients in Private Healthcare in Edenvale, South Africa.Healthcare (Basel, Switzerland) · 2025Article
- Unveiling pathways to enhance hypertension and diabetes care in rural China: a mixed methods study using the care cascade model.The Lancet regional health. Western Pacific · 2025Article
- Article
- Perceived barriers to management of patients with diabetes mellitus and hypertension in primary care centers in Indonesia.Frontiers in health services · 2025Article
- Experiences of access and use of primary health care by users with systemic arterial hypertension.Revista da Escola de Enfermagem da U S P · 2024Article
- Barriers and Facilitators in the Implementation of Prevention Strategies for Chronic Disease Patients-Best Practice GuideLines and Policies' Systematic Review.Journal of personalized medicine · 2023Review
- An educational intervention to improve health and nutrition literacy in hypertensive patients in Greece.Journal of education and health promotion · 2023Article
- [Barriers to knowledge, treatment, and control of hypertension in Latin America: a scoping reviewBarreiras ao conhecimento, tratamento e controle da hipertensão arterial na América Latina: uma revisão de escopo].Revista panamericana de salud publica = Pan American journal of public health · 2023Article
- The digitized chronic disease management model: scalable strategies for implementing standardized healthcare and big data analytics in Shanghai.Frontiers in big data · 2023Article
- Momordica balsamina improves glucose handling in a diet-induced prediabetic rat model.PloS one · 2023Article
- The factors influencing clinician use of hypertension guidelines in different resource settings: a qualitative study investigating clinicians' perspectives and experiences.BMC health services research · 2021Article
- An innovative approach to improve the detection and treatment of risk factors in poor urban settings: a feasibility study in Argentina.BMC public health · 2021Article
- Reception of Dietary and Other Health-Related Lifestyle Advice to Address Non-communicable Diseases in a Primary Care Context: A Mixed-Method Study in Central Argentina.Frontiers in nutrition · 2021Article
- Current State of Diabetes Mellitus Prevalence, Awareness, Treatment, and Control in Latin America: Challenges and Innovative Solutions to Improve Health Outcomes Across the Continent.Current diabetes reports · 2020Review
- Facilitators and barriers of managing patients with multiple chronic conditions in the community: a qualitative study.BMC public health · 2020Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite efforts to improve detection and treatment of adults with hypertension and diabetes in Argentina, many public healthcare system users remain undiagnosed or face barriers in managing these diseases. The purpose of this study is to identify health system, provider, and user-related factors that may hinder detection and treatment of hypertension and diabetes using a traditional and behavioral economics approach. We did qualitative research using in-depth semistructured interviews and focus groups with healthcare providers and adult users of Public Primary Care Clinics. Health system barriers included inadequate care accessibility; poor integration between primary care clinics and local hospitals; lack of resources; and gender bias and neglect of adult chronic disease. Healthcare provider-related barriers were inadequate training; lack of availability or reluctance to adopt Clinical Practice Guidelines; and lack of counseling prioritization. From a behavioral economics perspective, bottlenecks were related to inertia and a status quo, overconfidence, and optimism biases. User-related barriers for treatment adherence included lack of accurate information; resistance to adopt lifelong treatment; affordability; and medical advice mistrust. From a behavioral economics perspective, the most significant bottlenecks were overconfidence and optimism, limited attention, and present biases. Based on these findings, new interventions that aim to improve prevention and control of chronic conditions can be proposed. The study provides empirical evidence regarding the barriers and bottlenecks in managing chronic conditions in primary healthcare settings. Results may contribute to the design of behavioral interventions targeted towards healthcare provision for the affected population.
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