A Concept Mapping Study of Physicians' Perceptions of Factors Influencing Management and Control of Hypertension in Sub-Saharan Africa.
A Concept Mapping Study of Physicians' Perceptions of Factors Influencing Management and Control of Hypertension in Sub-Saharan Africa.
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DOI：
10.1155/2015/412804
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发表时间：
2015
影响因子：
1.9
通讯作者：
Ogedegbe G
中科院分区：
文献类型：
--
作者：
Iwelunmor J;Blackstone S;Gyamfi J;Airhihenbuwa C;Plange-Rhule J;Tayo B;Adanu R;Ogedegbe G
高血压曾是撒哈拉以南非洲（SSA）的一个罕见问题，预计到2020年将成为死亡的主要原因，死亡率高达75%。然而，对影响最优管理的供应商层面因素的全面了解是有限的。本研究的目的是发现医生对影响SSA患者高血压最佳管理和控制的因素的看法。加纳大学健康科学学院心血管研究培训（CaRT）研究所的12名医生受邀完成一个概念图绘制过程，其中包括对影响患者高血压最佳管理和控制的因素进行头脑风暴，将这些因素分类和组织到类似的领域，并对解决这些因素的重要性和可行性进行评级。排名最高的重要和可行因素包括帮助患者接受他们的病情和提供足够的设备以提供所需的护理。研究结果表明，患者自我效能和支持、医生相关因素、政策因素和经济因素是实现最佳高血压管理必须解决的重要方面。鉴于医生确定的工作需求，未来的研究应探讨将医生职责转移给训练有素的无医生临床医生的成本效益策略，以改善高血压管理。
Hypertension, once a rare problem in Sub-Saharan Africa (SSA), is predicted to be a major cause of death by 2020 with mortality rates as high as 75%. However, comprehensive knowledge of provider-level factors that influence optimal management is limited. The objective of the current study was to discover physicians' perceptions of factors influencing optimal management and control of hypertension in SSA. Twelve physicians attending the Cardiovascular Research Training (CaRT) Institute at the University of Ghana, College of Health Sciences, were invited to complete a concept mapping process that included brainstorming the factors influencing optimal management and control of hypertension in patients, sorting and organizing the factors into similar domains, and rating the importance and feasibility of efforts to address these factors. The highest ranked important and feasible factors include helping patients accept their condition and availability of adequate equipment to enable the provision of needed care. The findings suggest that patient self-efficacy and support, physician-related factors, policy factors, and economic factors are important aspects that must be addressed to achieve optimal hypertension management. Given the work demands identified by physicians, future research should investigate cost-effective strategies of shifting physician responsibilities to well-trained no-physician clinicians in order to improve hypertension management.