Intended for healthcare professionals

Education And Debate

British Hypertension Society guidelines for hypertension management 1999: summary

BMJ 1999; 319 doi: (Published 04 September 1999) Cite this as: BMJ 1999;319:630

Ownership and uptake of guidelines

The latest guidelines are to be commended for the use of
absolute risk but it is a shame given that the guidelines
are most suitable for use by General Practitioners,who carry
out a massive proportion of the care of patients with
hypertension, that the authorship does not include someone
from Primary Care.Much evidence suggests that ownership is
the most important factor in the uptake of guidelines.This
is particularly important when guidelines contain value
judgement such as the level of absolute risk of an event per
year which would justify treatment. Julian Tudor Hart, for
example, might have enhanced the credibility of the
guidelines had he been an author.Might I even suggest that
the BMJ itself should consider when accepting guidelines for
publication whether the authorship is suitably
representative of the group at which it may be aimed.

Phil Taylor

Clinical Governance Specialist
East Devon Primary Care Group

Competing interests: No competing interests

07 October 1999
Phil Taylor