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- W4251681034 abstract "Abstract Background: Hypertension 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 reasons for preferential use of certain hypertension guidelines. Methods: A 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. Thematic analysis was used. Results : Three main themes emerged, each a level at which clinicians perceived influencing factors to be operating: health system, healthcare worker and patient. Within each theme, influencing factors were described as barriers to and facilitators of guideline use. Variation in themes occurred across income settings. Influencing factors at the health system level were accessibility of equipment and medications, workforce, and access to healthcare 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 subthemes. Patient centred influences 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. Conclusions: This study adds a high level global view to previous studies investigating clinician perspectives on hypertension guideline use. Guidelines should be evidence-based, regularly updated and attention should be given to increasing applicability to LMICs and a range of healthcare professionals." @default.
- W4251681034 created "2022-05-12" @default.
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- W4251681034 date "2021-04-05" @default.
- W4251681034 modified "2023-10-14" @default.
- W4251681034 title "The Factors Influencing Clinician Use of Hypertension Guidelines in Different Resource Settings: a Qualitative Study Investigating Clinicians’ Perspectives and Experiences." @default.
- W4251681034 doi "https://doi.org/10.21203/rs.3.rs-384432/v1" @default.
- W4251681034 hasPublicationYear "2021" @default.
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