An existing clinical problem in Japan is the high prevalence of uncontrolled hypertension despite the availability of various effective therapies. Here, we analyzed survey data to gain insight into this paradox from physicians’ perspectives, with results categorized according to specialty (i.e., with or without certification by the Japanese Society of Hypertension [JSH]), institution type, gender, and age. A web-based survey of typical educational activities for patients regarding hypertension management was conducted in Japan between October 19 and 31, 2017. Differences between physician groups were investigated per category. Survey results from 541 physicians were analyzed: 59 JSH certified (i.e., ‘specialist’) vs 482 non-JSH certified (i.e., ‘nonspecialist’) physicians; 192 general practitioners vs 349 hospital physicians; 500 males vs 41 females; and 178 younger (mean age: 40.7 years), 174 middle-aged (52.0 years) or 189 older (61.3 years) physicians. The most statistically significant differences between groups were observed in the category of physician specialty. Compared with nonspecialists, specialist physicians were more conscious of providing education on patient lifestyle modifications, more aware of patient- and physician-derived issues, and understood and followed the treatment guidelines. General practitioners cared more about the patient’s burden than did hospital physicians. Younger physicians identified the need to incorporate the patient’s perspective into their treatment. This analysis shows that the provision and perceptions of education differ between physician categories. Compared with specialist physicians, nonspecialists were less likely to provide adequate guidance on lifestyle modifications, possibly due to their uncertainty in understanding treatment guideline recommendations. Further education of nonspecialists on hypertension management may be warranted.

中文翻译：

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患者和医生对卓越在线调查对高血压管理的看法：按医生类别对 PARADOX 研究进行子分析

尽管有各种有效的治疗方法，但日本现有的一个临床问题是不受控制的高血压患病率很高。在这里，我们分析了调查数据以从医生的角度深入了解这一悖论，结果根据专业（即，有或没有日本高血压学会 [JSH] 的认证）、机构类型、性别和年龄进行分类。2017 年 10 月 19 日至 31 日在日本进行了一项关于高血压管理患者典型教育活动的基于网络的调查。按类别调查了医生组之间的差异。对 541 名医生的调查结果进行了分析：59 名 JSH 认证（即“专科医生”）与 482 名非 JSH 认证（即“非专科医生”）医生；192 名全科医生 vs 349 名医院医生；500 名男性对 41 名女性；178 名年轻（​​平均年龄：40.7 岁），174 名中年（52.0 岁）或 189 名老年（61.3 岁）医生。在医师专业类别中观察到组间最显着的统计学差异。与非专科医生相比，专科医生更注重提供有关患者生活方式改变的教育，更了解患者和医生衍生的问题，并理解并遵循治疗指南。全科医生比医院医生更关心病人的负担。年轻的医生认为需要将患者的观点纳入他们的治疗中。该分析表明，不同类别的医生对教育的提供和看法不同。与专科医生相比，非专科医生不太可能就生活方式的改变提供足够的指导，这可能是因为他们不确定对治疗指南建议的理解。可能需要对非专家进行高血压管理的进一步教育。