Knowledge, availability, and use of ambulatory and home blood pressure monitoring in primary care in Spain: the MAMPA study
Por:
Martin-Rioboo, E, de Torres, LAP, Banegas, JR, Lobos-Bejarano, JM, Cuixart, CB, Criado, EIG, Martin-Carrillo, P, Muro, MMR, Cabello, MIE, Galan, AM
Publicada:
1 may 2018
Resumen:
Objective:To examine the degree of knowledge and management of automated devices for office blood pressure measurement (AD), home blood pressure monitoring (HBPM) and ambulatory blood pressure monitoring (ABPM) in primary care in Spain.Methods:Online self-administered survey sent between May 2016 and February 2017 to 2221 primary-care physicians working across Spain. Clinicians were mostly identified through national primary-care scientific societies (20% overall response rate).Results:Participants' mean age was 47.7 years, 55% were women, and 54% reported at least 20 years of primary-care practice. Among them, 47.5% considered ABPM the best diagnostic method for hypertension, 23% chose HBPM, and 7.1% chose office blood pressure. Also, 78.2% had AD available at their centers and 49.0% had ABPM, with slight urban/rural differences. HBPM was recommended in daily practice for hypertension diagnosis by 67% of participants, whereas 30% recommended ABPM. Cost to the patients was the main reason for not using HBPM (42.7%) as was lack of accessibility for not using ABPM (69.8%). Lack of specific training was also reported as an important reason in both cases.Conclusion:Even in the possibly best primary care scenario presented by highly motivated physicians (respondents to a voluntary anonymous survey), enormous gaps were observed between current guidelines' recommendations on ABPM and HBPM use for confirming hypertension and the modest degree of knowledge, availability, and use of these technologies.
Filiaciones:
Martin-Rioboo, E:
Univ Cordoba, Inst Maimonides Invest Biomed Cordoba IMIBIC, Hosp Reina Sofia, Cordoba, Spain
Fuensanta Primary Care Hlth Ctr, Cordoba, Spain
de Torres, LAP:
Univ Cordoba, Inst Maimonides Invest Biomed Cordoba IMIBIC, Hosp Reina Sofia, Cordoba, Spain
Dist Sanitario Cordoba & Guadalquivir, Cordoba Teaching Unit Family Med, Cordoba, Spain
Banegas, JR:
Univ Autonoma Madrid, Dept Prevent Med & Publ Hlth, IdiPAZ, Madrid, Spain
CIBER Epidemiol & Publ Hlth CIBERESP, Madrid, Spain
Lobos-Bejarano, JM:
Area Este, Jazmin Primary Care Hlth Ctr, Madrid, Spain
Cuixart, CB:
Inst Invest Biomed St Pau, Sardenya Primary Care Hlth Ctr, Res Unit, Barcelona, Spain
Criado, EIG:
Fuensanta Primary Care Hlth Ctr, Cordoba, Spain
Martin-Carrillo, P:
Colmenarejo Primary Care Hlth Ctr, Madrid, Spain
Muro, MMR:
Can Misses Primary Healthcare Ctr, Ibiza, Spain
Cabello, MIE:
Isla de Oza Primary Care Hlth Ctr, Madrid, Spain
Galan, AM:
Manises Primary Care Hlth Ctr, Valencia, Spain
Open Access
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