Pediatric Hypertension: Provider Perspectives.
Pediatric Hypertension: Provider Perspectives.
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DOI：
10.1177/2333794x17712637
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发表时间：
2017-01-01
影响因子：
2.2
通讯作者：
Rao, Goutham
中科院分区：
文献类型：
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作者：
Bello, Jennifer K;Mohanty, Nivedita;Rao, Goutham
儿童高血压是成人心血管疾病的风险，因此早期发现非常重要。儿童原发性高血压的患病率正在上升，由于肥胖的患病率增加。虽然有筛查、诊断、评估和管理的指南，但准确诊断儿童高血压存在障碍，包括缺乏知识和血压标准的复杂性。我们的目的是深入了解初级保健提供者诊断和治疗率低的原因。作为一项多中心随机对照试验的一部分，我们采访了社区卫生中心网络中的8名提供者。我们使用了一个接地理论的方法来分析成绩单。提供者反映了诊断，管理和随访的许多障碍;教育内容的建议;以及如何改善社区卫生中心系统。调查结果为多方面干预的发展提供了信息。尽管缺乏关于原发性高血压的培训，但提供者乐于建议改变生活方式，以促进健康的体重和降低血压。
Pediatric hypertension is a risk for adult cardiovascular disease, making early detection important. The prevalence of pediatric essential hypertension is rising due to the increased prevalence of obesity. Though guidelines for screening, diagnosis, evaluation, and management are available, there are barriers to accurate diagnosis of pediatric hypertension, including lack of knowledge and complexity of blood pressure standards. We aimed to gain insights into reasons for low rates of diagnosis and treatment from primary care providers. As part of a multisite randomized controlled trial, we interviewed 8 providers in a community health center network. We used a grounded theoretical approach to analyze transcripts. Providers reflected on numerous barriers to diagnosis, management, and follow-up; recommendations for educational content; and how community health center systems can be improved. Findings informed development of a multifaceted intervention. Despite lack of training on essential hypertension, providers were comfortable recommending lifestyle changes to promote healthier weight and reduced blood pressure.