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Review
. 2004 Nov;44(5):602-8.
doi: 10.1161/01.HYP.0000144100.29945.5e. Epub 2004 Sep 20.

Measuring adherence to practice guidelines for the management of hypertension: an evaluation of the literature

Jessica L Milchak  1 , Barry L Carter, Paul A James, Gail Ardery
Affiliations
Review

Measuring adherence to practice guidelines for the management of hypertension: an evaluation of the literature

Jessica L Milchak et al. Hypertension. 2004 Nov.

Abstract

Adherence to practice guidelines is frequently used as a measure of quality of care. Numerous studies have evaluated physician adherence to hypertension guidelines by prescription data, physician survey data, or medical record review. However, most have methodological limitations that might underestimate physician adherence. Accurate and meaningful characterization of adherence rests on evaluation of varied components of hypertension care, use of explicit validated performance measures, incorporation of implicit and explicit review, and linkage of process measures to blood pressure outcomes.

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