Hypertension knowledge, attitudes, and practices of nurses and physicians in primary care in Ulaanbaatar Mongolia
| العنوان: | Hypertension knowledge, attitudes, and practices of nurses and physicians in primary care in Ulaanbaatar Mongolia |
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| المؤلفون: | Namkhaidorj Tserengombo, Myagmartseren Dashtseren, Norm R.C. Campbell, Guanmin Chen, Uurtsaikh Baatarsuren, Andreas Bungert, Tsolmon Unurjargal, Batbold Batsukh, Naranjargal Dashdorj, Roberta Bosurgi, Geoffrey So, Naranbaatar Dashdorj, Maral Myanganbayar |
| المصدر: | J Clin Hypertens (Greenwich) |
| بيانات النشر: | Wiley, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Adult, Male, Health Knowledge, Attitudes, Practice, medicine.medical_specialty, Attitude of Health Personnel, Health Personnel, Endocrinology, Diabetes and Metabolism, Psychological intervention, Nurses, Primary care, 030204 cardiovascular system & hematology, World Health Organization, Drug Prescriptions, Risk Assessment, World health, 03 medical and health sciences, 0302 clinical medicine, Physicians, Surveys and Questionnaires, Health care, Internal Medicine, Humans, Mass Screening, Medicine, 030212 general & internal medicine, Antihypertensive Agents, Primary Care, Response rate (survey), Primary Health Care, Hypertension control, business.industry, Mongolia, Middle Aged, Patient Care Management, Clinical Practice, Blood pressure, Family medicine, Hypertension, Female, Cardiology and Cardiovascular Medicine, business |
| الوصف: | Increased blood pressure is a leading risk for death globally, and interventions to enhance hypertension control have become a high priority. An important aspect of clinical interventions is understanding the knowledge, attitudes, and practices (KAP) of differing primary healthcare practitioners. We examined KAP surveys from 803 primary care practitioners in Ulaanbaatar, Mongolia (response rate 80%), using a comprehensive KAP survey developed by the World Hypertension League (WHL). The WHL KAP survey uniquely includes an assessment of key World Health Organization recommended interventions to enhance hypertension control. There were few substantive differences between healthcare professional disciplines. Primary care practitioners mostly had a positive attitude toward hypertension management. However, confidence and practice in performing specific tasks to control hypertension were suboptimal. A low proportion indicated they systematically screened adults for hypertension and many were not aware of the need to or were confident in prescribing more than two antihypertensive medications. It was the practice of a high proportion of doctors to not pharmacologically treat most people with hypertension who were at high cardiovascular risk. There was a reluctance by physicians to task share hypertension diagnosis, drug prescribing and assessing cardiovascular risk to nurses. The minority of health care professions use a hypertension management algorithm, and few have patient registries with performance reporting functions. There were few substantive differences based on the age, gender, and years of clinical practice of the practitioners. The study findings support the need for standardized education and training of primary care practitioners in Ulaanbaatar to enhance hypertension control. |
| تدمد: | 1751-7176 1524-6175 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::85054a69f15de05298899c4b5621b6f1Test https://doi.org/10.1111/jch.13592Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....85054a69f15de05298899c4b5621b6f1 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17517176 15246175 |
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