Peer-Reviewed Publication
Blood Press2026;35(1):2635826.December 1, 2026Journal Article
Clinicians' time in different aspects of hypertension care: how far are we from optimal management required by guidelines? Results of an international survey of the working group of general practitioners' and team-based care of the European Society of Hypertension and the European General Practice Research Network.
Miriam Pikkemaat1,2, Rosa de Pinho3, Enrique Rodilla4,5, Thomas Weber6, Reinhold Kreutz7, Thomas Frese8, Minna Johansson9, Bojan Jelakovic10,11,12, Valerija Bralic Lang11,12,13, Nina Dahle14, Péter Torzsa15, Andrew Oostindjer16, Nikolaos Evangelidis17,18, Areti Triantafyllou17,19, Michael Doumas20, Evangelos Fragkoulis21, Fabio Albini22, Jean-Marc Boivin23,24, Anders Norrman25, Andreas Stomby26, János Nemcsik16
1Center for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.
2University Clinic Primary Care, Skåne University Hospital, Sweden.
3Primary Care, São João da Madeira, ULS Entre Douro e Vouga, Portugal.
4Internal Medicine Department, Hypertension and Vascular Risk Unit, Hospital Universitario de Sagunto, Sagunto, Spain.
5Department of Medicine, Universidad Cardenal Herrera-CEU, CEU Universities, Valencia, Spain.
6Cardiology Department, Klinikum Wels-Grieskirchen, Wels, Austria.
7Institute of Clinical Pharmacology and Toxicology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin.
8Medizinische Fakultät der Martin-Luther-Universität Halle-Wittenberg Profilzentrum Gesundheitswissenschaften Institut für Allgemeinmedizin, Halle, Germany.
9, School of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
10University Hospital Centre Zagreb, Croatia.
11School of Medicine, University of Zagreb, Zagreb, Croatia.
12Croatian Hypertension League, Zagreb.
13Specialist Family Medicine Practice, Zagreb, Croatia.
14Center for Clinical Research Dalarna, Uppsala University, Falun, Sweden.
15Department of Family Medicine, Semmelweis University, Budapest, Hungary.
16General Practice Oostindjer, Oldenzaal, The Netherlands.
17First Propedeutic Department of Internal Medicine, AHEPA University Hospital, Hypertension Outpatient Clinic, ESH Excellence Center, Aristotle University of Thessaloniki, Thessaloniki, Greece.
18Laboratory of Primary Health Care, General Practice and Health Services Research, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
19Primary Health Care Research Network, Aristotle University of Thessaloniki, Thessaloniki, Greece.
202nd Department of Internal Medicine, Aristotle University, Thessaloniki, Greece.
21Hellenic Academy of General Practice/Family Medicine and Primary Health Care, Athens, Greece.
22Milano Nord-Ambulatory for Hypertension and Cardiovascular Protection, Advanced Clinical Training Academy for selected GPs, Milan, Italy.
23Department of Family Medicine, Lorraine University, Nancy, France.
24ESH Hypertension Excellence Center Coordinator, Nancy, France.
25Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
26Department of Health, Medicine and Caring Sciences, Rehabilitation and Community Medicine, Unit of Clinical Medicine, Linköping University, Linköping, Sweden.
Abstract
BACKGROUND: Hypertension management guidelines provide recommendations for optimal patient care. However, the limited time available of clinicians is rarely considered. The aim of this study was to evaluate the time clinicians currently spend on different components of hypertension care during an average workday and to assess physicians' perceptions of the time required for optimal, guideline-base…
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