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COMMENTS AND OPINIONS
Medication Nonadherence for Blood Pressure Control Is Primarily a Physician-Related Factor
Randy Wexler, MD, MPH;
David Feldman, MD, PhD
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The investigation by Ho et al1 is important in understanding and addressing the problem of uncontrolled hypertension in the United States. We agree the successful treatment of BP is contingent on "the successful interaction of multiple factors, including patient, provider, and health system."1(p274) However, we believe that the key to achieving such control is primarily contingent on overlooked physician factors.
More than 90% of all patients with hypertension or those being screened for hypertension will be evaluated in a primary care office.2 However, there is a significant lack of awareness of the Joint National Committee on Prevention, Detection, Evaluation, and Management of High Blood Pressure (JNC) recommendations in the primary care setting. Hyman and Pavlik3 surveyed a national sample of primary care physicians to determine their practice patterns for the treatment of hypertension and their familiarity with the JNC guidelines, and 41% . . . [Full Text of this Article]
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RELATED ARTICLE
Importance of Therapy Intensification and Medication Nonadherence for Blood Pressure Control in Patients With Coronary Disease
P. Michael Ho, David J. Magid, Susan M. Shetterly, Kari L. Olson, Pamela N. Peterson, Frederick A. Masoudi, and John S. Rumsfeld
Arch Intern Med. 2008;168(3):271-276.
ABSTRACT
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RELATED LETTER
Medication Nonadherence for Blood Pressure Control Is Primarily a Physician-Related Factor—Reply
P. Michael Ho and David J. Magid
Arch Intern Med. 2008;168(17):1929.
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