Swedish general practitioners' practice behaviour in hypertension care.

Abstract:

OBJECTIVE:To examine care organization and practice behaviour in hypertension care among Swedish general practitioners. DESIGN:A postal questionnaire followed by a structured interview, in a two-step study design. SETTING:Uppsala-Orebro region in mid-Sweden (population 1.9 mill.) PARTICIPANTS:General practitioners employed by counties, according to a register maintained by the Swedish Medical Association (N = 489). MAIN OUTCOME MEASURE:Practice behaviour score compared with a gold standard. RESULTS:392 general practitioners returned the questionnaire, and the interview was accomplished with 222 of 232 who agreed to participate. Non-responder studies were carried out in both steps. Every fifth GP had access to a special hypertension clinic at their health centre, and 29% had specially trained nurses for hypertension care. 31% reported use of written guidelines. 47% declared they accepted higher BP-levels than recommended, although 78% agreed with official guidelines. The mean practice behaviour score was 8,77 (range 5-12, maximum score 12). CONCLUSION:Although a majority of GPs agree with official guidelines, there is a considerable variation in care organization and practice behaviour in hypertension care.

authors

Ribacke M

doi

10.3109/02813439308994828

subject

Has Abstract

pub_date

1993-09-01 00:00:00

pages

187-92

issue

3

eissn

0281-3432

issn

1502-7724

journal_volume

11

pub_type

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