Council's Corner: Hypertension Issues, A Personal View (Nadia Khan)
In the June 2017 issue of ISH Hypertension News, Nadia Khan shares her views on hypertension in a report entitled 'Expanding the Workforce in Hypertension: A Focus on Pharmacists'.
In each issue of Hypertension News we ask Council members to present their views on hypertension.
Here, in 'Expanding the Workforce in Hypertension: A Focus on Pharmacists', Nadia Khan shares her views.
Hypertension awareness and control remains sub-optimal globally, even in developed countries with universal access to health care and subsidization of medications (1,2). The reasons for low awareness of hypertension and sub-optimal control of blood pressure are multifactorial and include limited access to health care (3). Antihypertensive prescribing and hypertension management rests largely on the shoulders of primary care physicians. From the global health authority, physician to patient ratios range from as low as 0.02 physicians in Niger to 4.42 physicians per 1000 in Norway with 44% of WHO countries having <1 physician per 1000 patients (4). Other key barriers include physician inertia and reluctance to treat the elderly to target, increasing comorbidity and complexity of patients, and patient non-adherence (3). Physicians have limited time with patients to measure BP, evaluate for medication non-adherence, lifestyle modification counseling and institute medication changes. Novel approaches are needed to more efficiently and effectively improve BP control and expanding the hypertension work force is a strategy worth considering.
ISH Hypertension News is available online @ http://ish-world.com/news/a/hypertensionnews/, ISSN: 2520-2782
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