Clinical Decision-Making in Blood Pressure Management of Patients with Diabetes Mellitus: An Oklahoma Physicians Resource/Research Network (OKPRN) Study

Article Figures & Data

Table 1.

Characteristics of Participating Physicians

Characteristic	Physician	A	B	C	D	E	F	G	H	I
Physician gender	Males = 78%	M	F	F	M	M	M	M	M	M
Type of practice: academic vs. private		P	P	A	A	P	A	P	P	A
Years in practice^*		2	1	3	3	3	3	3	3	3
Location of practice^†		U	R	U	R	R	U	R	R	U
No. of patients not meeting guidelines		7	2	5	10	11	6	11	21	2
Average no. of reasons given per patient (group mean = 2.3)		3.4	2.5	3.0	2.0	1.9	2.5	2.5	1.9	4.0
Percentage of physician-related reasons		8.3	40	8	40	71	0	16	28	0
Percentage of patient-related reasons		83.3	40	54	35	19	100	47	33	75
Percentage of information-related reasons		8.3	5	13	20	21	5	38	39	0

Table 2.

Reasons Given for Not Achieving BP <130/80 (no.of cases = 73)

Category Descriptor	Frequency	Percentage of Cases
Physician-related (N = 45)
Satisfied with results/progress	20	27.4
Competing demands	10	13.7
Co-management	9	12.3
Disagreement with ADA^* guidelines	6	8.2
Patient-related (N = 82)
Limited treatment options	47	64
Low income/medication cost/ inadequate insurance	27	37
Adverse effects of medications	12	16.4
Comorbidities limiting treatment options	8	11.0
Patient adherence issues	27	37
General nonadherence	14	19.2
Denial	3	4.1
Alcoholism	3	4.1
Cultural issues	2	2.7
Depression	2	2.7
Dementia	2	2.7
Language/communication barriers	1	1.4
Competing agendas	5	6.9
Unfavorable risk to benefit ratio	3	4.1
Information/measurement-related (N = 48)
Inadequate data or data variability	43	58.9
Lack of a consistent trend	26	35.6
Unusual circumstances	7	9.6
Discrepancy between home and office	5	6.9
Lack of information	3	4.1
Unable to get accurate BP	2	2.7
Intervention not recorded	5	6.9