Polyclinic doctors’ knowledge of clinical recommendations regarding indications to administration of antihypertensive drugs

Aim. To study the knowledge of clinical recommendations of the Ministry of Healthcare of the Russian Federation, acquired by doctors providing dispensary observation regarding contraindications to administration of antihypertensive drugs.

Materials and methods. Questioning of 146 doctors, providing dispensary observation of adults using the standard questionnaire, containing 14 questions-tests. There was implemented the frequency analysis, calculation and comparison of the mean score, Median, Mode in relation to all the group and groups, singled out by the following two signs: work at the hospital for the recent 5 years and awareness of the content of clinical recommendations of the Ministry of Healthcare of RF. Correlation analysis between scores and age was conducted.

Results. The mean score was 3.6 ± 3.3 with maximum 14, Median 1, Mode 1. Nobody from respondents got the maximum score, the best result 12 scores was received by 0.7 % of respondents, 0 scores – 3 %. No correlation between scores and age (r = –0.1, p = 0.4) was revealed. In the group of doctors, working at the hospital for the recent 5 years, during half a year the mean score 5.4 ± 3.5 was significantly higher (t = 3.8, p = 0.001) than in the group of those who did not work 2.9 ± 2.7. In the group of respondents, who indicated their knowledge of the content of clinical recommendations, the mean score 3.6 ± 3.4 (t = –0.4, p = 0.89) did not significantly differ from the mean score 3.5 ± 3.3 in the group of doctors who were not aware of clinical recommendations on arterial hypertension in adults.

Conclusions. The knowledge of clinical recommendations, confirmed by the Ministry of Health of the Russian Federation, should be regularly estimated among the doctors, providing dispensary observation. Practice-oriented training of clinical recommendations is also needed.