Patient and primary care perspectives on hypertension management: short report of a qualitative study in a tribal health system.
Patient and primary care perspectives on hypertension management: short report of a qualitative study in a tribal health system.
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DOI：
10.1080/22423982.2022.2049054
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发表时间：
2022-12
影响因子：
1.3
通讯作者：
Dillard DA
中科院分区：
文献类型：
--
作者：
Schaefer KR;Todd MR;Trinidad SB;Robinson RF;Dillard DA
阿拉斯加土著和美洲印第安人（ANAI）自我报告的高血压患病率高于大多数美国人口。虽然高血压是心血管疾病和中风的主要可改变的危险因素，但它可能难以成功管理。本研究的目的是探讨病人和供应商的观点，高血压，高血压管理策略，病人与供应商的沟通策略，在阿拉斯加州的一个部落拥有和经营的卫生系统。我们进行了四个焦点小组，其中包括16名ANAI患者和5名初级保健提供者。患者参与者倾向于认为高血压是一种短暂的状态，与供应商对高血压作为一种慢性疾病的理解相反。参与者对提供者的咨询和教育工作的看法存在差异，提供者认为目前的策略是有效的，患者希望对高血压进行更个性化的讨论。与药物治疗相比，患者表示更喜欢改变行为的方法;提供者通常将药物作为控制血压的第一步。我们的研究结果表明，在高血压的患者-提供者沟通和治疗方面，未来的研究可能会有很大的发展前景。
The prevalence of self-reported hypertension is higher among Alaska Native and American Indian (ANAI) individuals than in the majority USA population. Although hypertension is the primary modifiable risk factor for cardiovascular disease and stroke, it can be difficult to manage successfully. The objective of this study was to explore patients’ and providers’ perspectives about hypertension, hypertension management strategies, and patient-provider communication strategies within a tribally-owned and operated health system in Alaska. We conducted four focus groups that included 16 ANAI patients and five primary care providers. Patient participants tended to consider hypertension a transient state, in contrast with providers’ understanding of hypertension as a chronic condition. Differences were noted in participants’ perceptions regarding providers’ counselling and education efforts, with providers feeling that current strategies are effective and patients desiring a more personalised discussion about hypertension. Patients expressed preferences for behaviour change approaches compared with pharmacotherapy; providers often resorted to medication as a first step towards controlling blood pressure. Our findings suggest areas of potentially promising future research with respect to patient-provider communication and treatment of hypertension.
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影响因子：
39.2
作者：
Gaster B;Edwards K;Trinidad SB;Gallagher TH;Braddock CH 3rd
通讯作者：
Braddock CH 3rd
DOI：
10.3390/ijerph18041821
发表时间：
2021-02-13
影响因子：
--
作者：
Lewis ME;Volpert-Esmond HI;Deen JF;Modde E;Warne D
通讯作者：
Warne D
影响因子：
7.2
作者：
通讯作者：
--
影响因子：
5.5
作者：
Boyd AD;Fyfe-Johnson AL;Noonan C;Muller C;Buchwald D
通讯作者：
Buchwald D
影响因子：
37.8
作者：
Benjamin, Emelia J.;Virani, Salim S.;Muntner, Paul
通讯作者：
Muntner, Paul