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COMMENTS AND OPINIONS
Medication Nonadherence for Blood Pressure Control Is Primarily a Physician-Related Factor—Reply
P. Michael Ho, MD, PhD;
David J. Magid, MD, MPH
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In reply
We agree with the letters by Barrios et al and Wexler and Feldman that the reasons for poor hypertension control are multifactorial and due to physician- and/or patient-related factors. Some of these factors include overestimation by physicians of how well they are doing regarding BP treatment, lack of knowledge on the part of physicians about guideline recommendations, and patients' inaccurate perceptions about their BP control. In addition to these factors, another potential reason for poor hypertension control is medication nonadherence, which was one of the foci of our study.1 We found that successful BP control is seen with the combination of therapy intensification and medication adherence and suggest that the two must be coupled to achieve BP control. The practice setting where these observations were made is unique because the majority of patients are enrolled in a disease . . . [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
Randy Wexler and David Feldman
Arch Intern Med. 2008;168(17):1928-1929.
EXTRACT
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