Enhancing adherence to clinical practice guidelines for hypertension management: Evaluation of the effectiveness of a Hypertension Management Tool Kit (HMTK) among primary healthcare doctors. (ImprovBP-HMTK)

Abstract

Introduction: Adherence to guidelines in managing hypertension among primary healthcare doctors remains suboptimal. Objective: We assessed the effectiveness of a Hypertension Management Tool Kit (HMTK) in improving guideline adherence. Methods: Medical records of 392 patients attending 2 primary care clinics in the Klang district with 3 or more anti-hypertensive medications were audited. Paired T-test and repeated measure ANOVA were used to evaluate the effectiveness of the HMTK intervention with the evaluation of interaction within-subject effects, between subject effect and time. Results: The mean MOGC score of doctors with 5 years of service; 81.238 (95 % CI 80.621,81.855). Statistically significant (p-value 5 years of service; 73.485 (14.281) to 89.613 (5.149). Statistically significant was shown by years of service in time-group interaction effect pre- and post-intervention (p-value 5 of service; 72.960 (95 % CI 71.895,74.075). Post-intervention in 5 years of service; 89.516 (95%CI 88.987,90.044). Conclusion: The HMTK is an effective tool to improve the management of hypertension among doctors.

Keywords

• Hypertension
• Guidelines
• Adherence
• Primary healthcare provider
• Management algorithm