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- W4315778898 abstract "Objective: The prevalence of hypertension among adults in Singapore has increased signifincantly from 24% (2017) to 35% (2020); half of those who have been diagnosed remained uncontrolled. Most of the patients with hypertension are managed in the primary care setting. Therefore, this study aimed to explore the experiences, challenges and needs of primary care providers in managing hypertension in Singapore Design and method: This qualitative study reported preliminary findings from 10 individual in-depth interviews with healthcare providers (5 doctors, 3 nurses and 2 pharmacists) in 2 primary care polyclinics in Singapore. The subjects were recruited purposively (based on experience and position) and recruitment continued till saturation was achieved. An experienced qualitative researcher conducted the interviews using an interview guide developed based on theories, literature review and expert discussion. All interviews were audio-recorded, transcribed verbatim, checked and managed using NVivo qualitative data management software. Thematic analysis was used for data analysis. Results: Four main challenges emerged from the preliminary analysis: (1) Lack of adequate blood pressure readings for decision making; (2) Lack of clarity of roles and responsibilities of healthcare team in hypertension care; and (3) Practice variations and lack of standardised training and (4) Usability and utility issues with the electronic medical record. Conclusions: Despite clear evidence on home blood pressure monitoring, team-based care, patient and clinician education, and technology in enhancing hypertension care, this study found a gap in implementing these clinical evidence. There is a clear need to find effective and sustainable strategies to overcome these barriers to improve hypertension care in primary care." @default.
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- W4315778898 date "2023-01-01" @default.
- W4315778898 modified "2023-10-04" @default.
- W4315778898 title "PS-C31-12: CHALLENGES IN MANAGING HYPERTENSION IN A SINGAPORE PRIMARY CARE SETTING: A QUALITATIVE STUDY" @default.
- W4315778898 doi "https://doi.org/10.1097/01.hjh.0000917708.08033.c8" @default.
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