Publications

BibTex format

@article{Golestaneh:2021:10.1186/s12913-021-06782-w,
author = {Golestaneh, AK and Clarke, JM and Appelbaum, N and Gonzalvez, CR and Jose, AP and Philip, R and Poulter, NR and Beaney, T},
doi = {10.1186/s12913-021-06782-w},
journal = {BMC Health Services Research},
pages = {1--12},
title = {The factors influencing clinician use of hypertension guidelines in different resource settings: a qualitative study investigating clinicians' perspectives and experiences},
url = {http://dx.doi.org/10.1186/s12913-021-06782-w},
volume = {21},
year = {2021}
}

Download

RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BackgroundHypertension accounts for the greatest burden of disease worldwide, yet hypertension awareness and control rates are suboptimal, especially within low- and middle-income countries. Guidelines can enable consistency of care and improve health outcomes. A small body of studies investigating clinicians’ perceptions and implementation of hypertension guidelines exists, mostly focussed on higher income settings. This study aims to explore how hypertension guidelines are used by clinicians across different resource settings, and the factors influencing their use.MethodsA qualitative approach was employed using convenience sampling and in-depth semi-structured interviews. Seventeen medical doctors were interviewed over video or telephone call from March to August 2020. Two clinicians worked in low-income countries, ten in middle-income countries, and five in high-income countries. Interviews were recorded, transcribed, and coded inductively. Reflexive thematic analysis was used.ResultsThemes were generated at three levels at which clinicians perceived influencing factors to be operating: healthcare worker, healthcare worker interactions with patients, and the wider health system. Within each level, influencing factors were described as barriers to and facilitators of guideline use. Variation in factors occurred across income settings. At the healthcare worker level, usability of guidelines, trust in guidelines, attitudes and views about guidelines’ purpose, and relevance to patient populations were identified as themes. Influencing factors at the health system level were accessibility of equipment and medications, workforce, and access to healthcare settings. Influences at the patient level were clinician perceived patient motivation and health literacy, and access to, and cost of treatment, although these represented doctors’ perceptions rather than patient perceived factors.ConclusionsThis study adds a high level global view to previous studie
AU  - Golestaneh,AK
AU  - Clarke,JM
AU  - Appelbaum,N
AU  - Gonzalvez,CR
AU  - Jose,AP
AU  - Philip,R
AU  - Poulter,NR
AU  - Beaney,T
DO  - 10.1186/s12913-021-06782-w
EP  - 12
PY  - 2021///
SN  - 1472-6963
SP  - 1
TI  - The factors influencing clinician use of hypertension guidelines in different resource settings: a qualitative study investigating clinicians' perspectives and experiences
T2  - BMC Health Services Research
UR  - http://dx.doi.org/10.1186/s12913-021-06782-w
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000683746100003&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-021-06782-w
UR  - http://hdl.handle.net/10044/1/92291
VL  - 21
ER  -

Download

Professor Neil Poulter

Contact

Assistant

Location

Summary

Citation

BibTex format

RIS format (EndNote, RefMan)