A gap analysis of primary care providers' management of antihypertensive medication non-adherence

Purpose of Project: Hypertension is the most common chronic problem causing nearly half a million deaths annually in the United States as well as putting individuals at risk for heart disease, stroke, and other complications. Only one in four adults have their hypertension under control, primarily due to poor adherence to antihypertensive medication. Methodology: A survey to assess practices of medication non-adherence management by primary care providers was completed by six primary care providers. Results: The survey identified that most providers are assessing antihypertensive medication adherence (83.3%) but a majority are not using an evidence-based tool (83.3%). Additionally, specific barriers were identified only 63.3% of the time and the most common barriers identified were financial difficulties, forgetfulness, and patient’s perceptions and beliefs. Implications for Practice: An evidence-based toolkit that was tailored to identified gaps was created. Using this toolkit and addressing antihypertensive medication non-adherence, will, hopefully, improve blood pressure control and improve care of hypertensive patients.DNPIncludes bibliographical reference