Clinician Perceptions of Barriers and Strategies to Improve Pediatric Hypertension Detection

What are barriers to detection of hypertension among children in primary care settings, and what strategies do clinicians recommend to address these barriers?In this qualitative study of 25 clinicians across 10 pediatric primary care clinics, barriers included lack of standardized clinical pathways, inadequate training, inefficient electronic medical records, inconsistent equipment access, and poor coordination with specialists. Clinicians recommended standardized role-specific pathways, competency-based training, optimized electronic medical record tools, reliable equipment systems, and structured communication with subspecialists.This study’s results suggest that addressing clinician-identified barriers through targeted, system-level strategies may improve pediatric hypertension detection and management.

Corresponding Author: Abbas H. Zaidi, MD, MSc, Department of Cardiology, Nemours Children’s Health, 1600 Rockland Rd, Wilmington, DE 19803 (abbas.zaidi@nemours.org).

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