Table 1.

Impediments to and potential strategies for effective blood pressure control

Impediments	Possible interventions
Patient-based
Attitudes about hypertension	Education at the community and individual level concerning consequences of hypertension
Medication side effects	Use of medications with fewer side effects
	Education of and treatment for sexual side effects
Medication cost	Use of diuretics and other generically available medication
Medication adherence	Less frequent dosing of medications
	Promotion of pillboxes
	Combination medications
	Methods to increase ease of medication renewal (ie, telephone or computer-linked)
	Rewards for higher adherence and lower blood pressure
Provider-based
Knowledge	Conferences
	Academic detailing
	Computer-based algorithms
	Publication of clinical trials
Access	Use of physician extenders
	Group visits
	Work site care
	Expansion of health coverage
Awareness	Computer based reminders
Motivation	Incentives for health providers and managers
Societal-based
Awareness	Public education campaigns
	Community-screening programs
	Work-based programs
Access to care	Expansion of health coverage (private and government financed)