Use of strategies to improve antihypertensive medication adherence within United States outpatient health care practices, DocStyles 2015‐2016

• DOI: 10.1111/jch.13188
• Publication Date: 2018-02-04T19:46:43Z
• Authors: Tiffany E. Chang; Matthew D. Ritchey; Carma Ayala; Jeffrey M. Durthaler; Fleetwood Loustalot
• Keywords: Male; Attitude of Health Personnel; Physicians, Family; Patient Preference; Blood Pressure Monitoring, Ambulatory; Quality Improvement; United States; Medication Adherence; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; Evidence-Based Practice; Surveys and Questionnaires; Hypertension; Outpatients; Humans; Female; Nurse Practitioners; Practice Patterns, Physicians'; Antihypertensive Agents

Patients’ adherence to antihypertensive medications is key to controlling high blood pressure. Evidence‐based strategies to improve adherence exist, but their use, individually and in combination, has not been described. 2015‐2016 DocStyles data were analyzed to describe health care professionals’ and their practices’ use of 10 strategies to improve antihypertensive medication adherence across 3 categories: prescribing, education, and tracking/encouragement. Among 1590 respondents, a mean of using 5 strategies was reported, with individual strategy use ranging from 17.2% (providing patients adherence‐related rewards) to 69.4% (prescribing once‐daily regimens). Those with higher odds of using ≥7 strategies and strategies across all 3 categories included: (1) nurse practitioners compared to family practitioners/internists and (2) health care professionals in practices with standardized hypertension treatment protocols who routinely recommend home blood pressure monitor use compared to respondents without those characteristics. Despite using an array of evidence‐based adherence‐promoting strategies, additional opportunities exist for health care professionals to provide adherence support among hypertensive patients.