Table 2 Clinician-perceived barriers to adequate blood pressure control of their patients [Total N 30 except for * where N 29]
Domain | Perceived Barriers | N (%) |
|---|---|---|
Patient | Poor adherence to medication therapy | 19 (63.3) |
Lack of knowledge about hypertension | 23 (76.7) | |
Inability to engage in lifestyle changes | 23 (76.7) | |
Health beliefs | 7 (24.1)* | |
Medication side effects | 6 (20.0) | |
Clinician | Nonadherence to treatment guidelines | 15 (50.0) |
Failure to emphasize lifestyle modifications | 10 (34.5) | |
Clinical inertia | 12 (41.4) | |
Logistic | Unavailability of prescribed medication in the hospital pharmacy | 23 (76.7) |
Lack of access to care | 17 (56.7) | |
High cost of medications | 19 (63.3) | |
Absence of clinical decision support systems | 13 (43.3) | |
High copayments | 9 (30.0) |