Table 3. Perceived limits and benefits of HBPM.

Limiting factors	Levering factors
HBPM use brakes in GPs daily practice: Lack of knowledge of some GPs: rules of HBPM use, blood pressure target, masked hypertension, validated devices list Lack of confidence in the method: still questioning the diagnostic value of HBPM compared with OBP	HBPM benefits in GPs daily practice: A tool against GPs’ therapeutic inertia (raised by a few GPs) Reduction in antihypertensive drug prescription and drug side effects
HBPM misuse by the patients: Inadequate or poor measurement conditions Abusive and obsessive use Transcription errors	HBPM benefits for patients (raised by a few GPs): Better patient involvement in his/her health and better therapeutic compliance
Insufficient logistical resources (raised by the majority): Lack of human resources when working alone Underuse of medical support and websites dedicated to HBPM	Sufficient logistical resources (raised by a few GPs): Sufficient human resources when practicing in group (nurse, secretary …)
Lack of material resources (raised by the majority): Number of loaned devices still insufficient for a regular use Frequent use of non validated devices	Enough material resources (raised by a few GPs): Devices loaned by GPs, pharmacist, patient family members… Purchase by the patients (affordable cost of the devices)
A threat for medical authority: Impossible to give a justification to medical inertia The patients becomes an actor of his medical management	Decrease in health care cost: Better blood pressure control and better prognostic value Reduction in specialized examinations and consultations