{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T05:55:11Z","timestamp":1781243711508,"version":"3.54.1"},"reference-count":15,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2019,7,3]],"date-time":"2019-07-03T00:00:00Z","timestamp":1562112000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100008273","name":"Novartis Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008273","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Hypertension"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Increased blood pressure is a leading risk for death globally, and interventions to enhance hypertension control have become a high priority. An important aspect of clinical interventions is understanding the knowledge, attitudes, and practices (KAP) of differing primary healthcare practitioners. We examined KAP surveys from 803 primary care practitioners in Ulaanbaatar, Mongolia (response rate 80%), using a comprehensive KAP survey developed by the World Hypertension League (WHL). The WHL KAP survey uniquely includes an assessment of key World Health Organization recommended interventions to enhance hypertension control. There were few substantive differences between healthcare professional disciplines. Primary care practitioners mostly had a positive attitude toward hypertension management. However, confidence and practice in performing specific tasks to control hypertension were suboptimal. A low proportion indicated they systematically screened adults for hypertension and many were not aware of the need to or were confident in prescribing more than two antihypertensive medications. It was the practice of a high proportion of doctors to not pharmacologically treat most people with hypertension who were at high cardiovascular risk. There was a reluctance by physicians to task share hypertension diagnosis, drug prescribing and assessing cardiovascular risk to nurses. The minority of health care professions use a hypertension management algorithm, and few have patient registries with performance reporting functions. There were few substantive differences based on the age, gender, and years of clinical practice of the practitioners. The study findings support the need for standardized education and training of primary care practitioners in Ulaanbaatar to enhance hypertension control.<\/jats:p>","DOI":"10.1111\/jch.13592","type":"journal-article","created":{"date-parts":[[2019,7,3]],"date-time":"2019-07-03T09:23:30Z","timestamp":1562145810000},"page":"1202-1209","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Hypertension knowledge, attitudes, and practices of nurses and physicians in primary care in Ulaanbaatar Mongolia"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0971-3405","authenticated-orcid":false,"given":"Maral","family":"Myanganbayar","sequence":"first","affiliation":[{"name":"Onom Foundation: Onom Foundation Central Office Ulaanbaatar Mongolia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uurtsaikh","family":"Baatarsuren","sequence":"additional","affiliation":[{"name":"Onom Foundation: Onom Foundation Central Office Ulaanbaatar Mongolia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guanmin","family":"Chen","sequence":"additional","affiliation":[{"name":"Research Facilitation, Analytics, Alberta Health Services 1101 Foothills Medical Centre Calgary AB Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1093-4742","authenticated-orcid":false,"given":"Norm R. C.","family":"Campbell","sequence":"additional","affiliation":[{"name":"Departments of Medicine, Physiology and Pharmacology, Community Health Sciences Libin Cardiovascular Institute of Alberta, O\u2019Brien Institute for Public Health University of Calgary Calgary AL Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberta","family":"Bosurgi","sequence":"additional","affiliation":[{"name":"Novartis Foundation Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geoffrey","family":"So","sequence":"additional","affiliation":[{"name":"Novartis Foundation Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsolmon","family":"Unurjargal","sequence":"additional","affiliation":[{"name":"Mongolian National University of Medical Sciences Ulaanbaatar Mongolia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myagmartseren","family":"Dashtseren","sequence":"additional","affiliation":[{"name":"Mongolian National University of Medical Sciences Ulaanbaatar Mongolia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Namkhaidorj","family":"Tserengombo","sequence":"additional","affiliation":[{"name":"Ulaanbaatar Songdo Hospital Ulaanbaatar Mongolia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Batbold","family":"Batsukh","sequence":"additional","affiliation":[{"name":"The First Central Hospital of Mongolia Ulaanbaatar Mongolia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Bungert","sequence":"additional","affiliation":[{"name":"Onom Foundation: Onom Foundation Central Office Ulaanbaatar Mongolia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naranbaatar","family":"Dashdorj","sequence":"additional","affiliation":[{"name":"Onom Foundation: Onom Foundation Central Office Ulaanbaatar Mongolia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naranjargal","family":"Dashdorj","sequence":"additional","affiliation":[{"name":"Onom Foundation: Onom Foundation Central Office Ulaanbaatar Mongolia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,7,3]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31134-5"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.19043"},{"key":"e_1_2_7_4_1","volume-title":"A global brief on hypertension: silent killer, global public health crisis. World Health Day 2013","author":"World Health Organization","year":"2013"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)32443-1"},{"issue":"8","key":"e_1_2_7_6_1","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1111\/jch.12840","article-title":"High Blood Pressure 2016: Why Prevention and Control Are Urgent and Important. The World Hypertension League, International Society of Hypertension, World Stroke Organization, International Diabetes Foundation, International Council of Cardiovascular Prevention and Rehabilitation, International Society of Nephrology","volume":"18","author":"Campbell NR","year":"2016","journal-title":"J Clin Hypertens (Greenwich)"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jch.12557"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jch.12214"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jch.13320"},{"key":"e_1_2_7_10_1","volume-title":"Institute for Health Metrics and Evaluation","author":"Global Burden of Disease Website"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jch.12432"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jch.13079"},{"key":"e_1_2_7_13_1","volume-title":"HEARTS: Technical package for cardiovascular disease management in primary health care","author":"World Health Organization","year":"2016"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jch.13195"},{"key":"e_1_2_7_15_1","volume-title":"HEARTS Technical package for cardiovascular disease management in primary health care","author":"World Health Organization","year":"2018"},{"key":"e_1_2_7_16_1","volume-title":"Conducting Survey Research among Physicians and other Medical Professionals \u2010 A Review of Current Literature","author":"Flanigan TS","year":"2008"}],"container-title":["The Journal of Clinical Hypertension"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jch.13592","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jch.13592","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jch.13592","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T06:04:40Z","timestamp":1694325880000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jch.13592"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,3]]},"references-count":15,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2019,8]]}},"alternative-id":["10.1111\/jch.13592"],"URL":"https:\/\/doi.org\/10.1111\/jch.13592","archive":["Portico"],"relation":{},"ISSN":["1524-6175","1751-7176"],"issn-type":[{"value":"1524-6175","type":"print"},{"value":"1751-7176","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7,3]]},"assertion":[{"value":"2019-01-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-04-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-07-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}