Assessment of adherence of primary healthcare providers to clinical guidelines for blood pressure control among primary healthcare providers in Iran.

Abstract

Abstract Background and purpose: Clinical guidelines are evidence-based guidelines that are systematically prepared to help health service providers and patients in making decisions about the most appropriate health and treatment measures and improve diagnosis and treatment based on clinical evidence and control the disease. This study was conducted with the aim of determining the level of compliance of health service providers with clinical blood pressure guidelines and factors affecting compliance with clinical guidelines for blood pressure control in East Azerbaijan Province. Methods: The present study is an applied descriptive-analytical study that was conducted in two phases, quantitative and qualitative, with a multi-stage sampling method, on 468 patients with high blood pressure who received services from doctors, health care workers, and health workers in government centers. Had done A researcher-made questionnaire was used to collect data and SPSS version 20 software was used for data analysis. In the qualitative phase, data collection was done through interviews that were selected by available sampling method. Findings: The results obtained from the quantitative phase of this study show that 1.1% of health care workers, 11.1% of nurses, and 29.3% of doctors took care of patients with high blood pressure in accordance with the blood pressure guidelines of the Ministry of Health during six months. . In the qualitative phase of the study, the reasons for the low adherence of health service providers were classified in 5 axes of human resources, clinical guidelines, service recipients, and the mechanism of the health system. Conclusion: Doctors had the most and urban health care workers had the least adherence to blood pressure clinical guidelines. One of the most important reasons for the low compliance of the health staff with the clinical guidelines is the high variety of services provided, high workload, failure to meet the expectations of the patients and their low level of cooperation with the health staff. Keywords: clinical guidelines, high blood pressure, adherence, primary health care providers