Knowledge and attitudes of primary care physicians in the management of patients at risk for cardiovascular events
نویسندگان
چکیده
BACKGROUND Adherence to clinical practice guidelines for management of cardiovascular disease (CVD) is suboptimal. The purposes of this study were to identify practice patterns and barriers among U.S. general internists and family physicians in regard to cardiovascular risk management, and examine the association between physician characteristics and cardiovascular risk management. METHODS A case vignette survey focused on cardiovascular disease risk management was distributed to a random sample of 12,000 U.S. family physicians and general internists between November and December 2006. RESULTS Responses from a total of 888 practicing primary care physicians who see 60 patients per week were used for analysis. In an asymptomatic patient at low risk for cardiovascular event, 28% of family physicians and 37% of general internists made guideline-based preventive choices for no antiplatelet therapy (p < .01). In a patient at high risk for cardiovascular event, 59% of family physicians and 56% of general internists identified the guideline-based goal for serum fasting LDL level (< 100 mg/dl). Guideline adherence was inversely related to years in practice and volume of patients seen. Cost of medications (87.7%), adherence to medications (74.1%), adequate time for counseling (55.7%), patient education tools (47.1%), knowledge and skills to recommend dietary changes (47.8%) and facilitate patient adherence (52.0%) were cited as significant barriers to CVD risk management. CONCLUSION Despite the benefits demonstrated for managing cardiovascular risks, gaps remain in primary care practitioners' management of risks according to guideline recommendations. Innovative educational approaches that address barriers may facilitate the implementation of guideline-based recommendations in CVD risk management.
منابع مشابه
Author's response to reviews Title: Knowledge and Attitudes of Primary Care Physicians in the Management of Patients at Risk for Cardiovascular Events Authors:
متن کامل
Survey of the knowledge and attitude of physicians toward the management of diabetes mellitus during Ramadan
Ramadan fasting has been a major concern among researchers considering the theoretically imposed risk on patients with diabetes mellitus due to prolonged fasting. Studies indicate that the knowledge and practices of physicians do not comply with the proposed recommendations in this regard in many cases. This study aimed to explore the viewpoints and attitudes of physicians toward the management...
متن کاملEfficacy of Family Physician Program in Providing Primary Care in Talesh, Iran
Background The healthcare providers are always seeking improvements in the health care delivery system in order to achieve better results. Objective This study aims to evaluate the efficacy of Family Physician Program (FPP) in providing primary care in Talesh, Iran. Methods This is a cross-sectional study conducted on 50 physicians working in Talesh city as family physician in 2020, and 384 p...
متن کاملThe Prevalence and Risk Factors of Venous Thrombosis among Hospitalized Patients: Are Wells Criteria Considered by Primary Care Physicians?
Background: Deep vein thrombosis (DVT) is one of the main causes of hospital mortality which can easily be prevented. Three para clinical methods are used to confirm the diagnosis of DVT, which include D-dimer test, venous color Doppler ultrasonography and venography. This study has focused on the prevalence of confirmed DVT in lower limbs based on venous color Doppler ultrason...
متن کاملClinical governance in primary health care based on family physicians in Mazandaran province: Stakeholders perspective
Background and Aim: Clinical governance is one of the important frameworks for continuous quality improvement and safety in health care systems. Identifying the axes of this approach according to local conditions is one of the important priorities of the health system. The aim of this study was to identify the views of stakeholders on the axes of clinical governance in primary health care based...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- BMC Family Practice
دوره 9 شماره
صفحات -
تاریخ انتشار 2008