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首页> 外文期刊>The journal of clinical hypertension. >Attitudes of Primary Care Providers and Recommendations of Home Blood Pressure Monitoring-DocStyles, 2010
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Attitudes of Primary Care Providers and Recommendations of Home Blood Pressure Monitoring-DocStyles, 2010

机译：基层医疗服务提供者的态度和家庭血压监测的建议-DocStyles，2010年

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摘要

To assess primary care providers' (PCPs) opinions related to recommending home blood pressure monitoring (HBPM) for their hypertensive patients, the authors analyzed a Web-based 2010 DocStyles survey, which included PCPs' demographics, health-related behaviors, recommendations on HBPM, views of patient knowledge, and use of continuing medical education. Of the 1254 PCPs who responded, 539 were family practitioners, 461 were internists, and 254 were nurse practitioners; 32% recommended HBPM to ≥90% of their patients and 26% recommended it to ≤40% of their patients. Nurse practitioners were significantly more likely to recommend HBPM than were internists (odds ratio, 0.55; 95% confidence interval, 0.40-0.78). The top reasons for not recommending HBPM were "patient can't afford it" and "patient doesn't need it." A total of 20% of PCPs indicated that their patients were poor to lower middle class; these PCPs were less likely to recommend HBPM to their patients than were those PCPs with most patients in higher economic classes. Additional efforts are needed to provide education to providers, especially physicians, about the benefits of HBPM in improved and cost-effective blood pressure control in the United States.
机译：为了评估初级保健提供者（PCP）与为其高血压患者推荐家庭血压监测（HBPM）有关的意见，作者分析了基于Web的2010 DocStyles调查，其中包括PCP的人口统计学，健康相关行为，关于HBPM的建议，对患者知识的看法以及对继续医学教育的使用。在回答的1254名PCP中，有539名是家庭医生，有461名是内科医生，有254名是护士。 32％的患者将HBPM推荐给≥90％的患者，26％的患者将HBPM推荐给≤40％的患者。与内科医师相比，执业医师推荐HBPM的可能性要高得多（优势比为0.55; 95％置信区间为0.40-0.78）。不推荐HBPM的主要原因是“患者负担不起”和“患者不需要”。总共20％的PCP表示他们的患者较差至中下阶层。与那些大多数经济较高级别患者的PCP相比，这些PCP向患者推荐HBPM的可能性较小。在美国，还需要付出更多的努力来向提供者，尤其是医生，提供有关HBPM在改善和具有成本效益的血压控制中的益处的教育。

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