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 |
* ADA, American Diabetic Association; BP, blood pressure.