Table 2.

Causes of Failure to Normalize BP

Lack of health insurance

Lack of access to health care

Absence of a usual source of care

Failure to diagnose HT

Failure to screen for high BP

Inaccurate BP measurement

Failure to recognize masked HT

Clinician therapeutic inertia

Failure to treat masked HT

Failure to initiate treatment when HT is present

Failure to intensify therapy in a treated patient when BP is above goal

Inadequate patient education

Absence of shared decision-making

Inadequate lifestyle recommendations and counseling

Low adherence to lifestyle modification and/or prescribed antihypertensive medication

Absence of home or ambulatory BP monitoring and reporting

Low patient and/or provider awareness of BP target

Absence of systematic follow-up

Abbreviations as in Table 1.