Knowledge And Attitudes Of Primary Care Doctors In The Management Of Risk For Cardiovascular Disease

April 2019

General Practitioners

Country of origin: USA

Adherence to clinical practice guidelines for management of cardiovascular disease (CVD) is suboptimal. The purposes of a recent study were to identify practice patterns and barriers among US general internists and family doctors in regard to cardiovascular risk management, and examine the association between doctor characteristics and cardiovascular risk management.

A case vignette survey focused on cardiovascular disease risk management was distributed to a random sample of 12,000 US family doctors and general internists between November and December 2006.

Responses from a total of 888 practicing primary care doctors who see 60 patients per week were used for analysis. In an asymptomatic patient at low risk for cardiovascular event, 28% of family doctors 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 doctors 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.

The paper concludes that 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.

Full text of this article is available online.

Resources

Patient opinion database June 2019 Patient Opinion is a service that tells the public what people are saying about local health services and allows people to...
Hyperhidrosis Society website June 2019 The International Hyperhidrosis Society (IHHS) recently launched a website targeting teenagers who suffer from excessive...
What primary care needs to know about dementia May 2019 NHS England in cooperation with the Royal College of GPs and Hardwick CCG have published Dementia Revealed - What primary...
Renal Care gets personal May 2019 PatientView shows patients' latest test results plus information about their diagnosis and treatment. They can share this...
People in control of their own health and care May 2019 The idea that people should have a stronger voice in decisions about their health and care, and that services should better...
ERres evidence-based and up-to-date app April 2019 EM:RAP October 2014 edition by Michelle Lin: Top app for emergency medicine!!

Lifeinthefastlane.com: "This app is...
Sexual and Reproductive Health Profiles update April 2019 The Sexual and Reproductive Health Profiles tool has been updated. Among other developments, PDF report printouts are now...
SEND: guide for health professionals April 2019 This guide is for:

clinical commissioning groups
health professionals
local authorities

It...
The Nursing Roadmap for Quality April 2019 The Nursing Roadmap for Quality has been designed help nurses and their teams understand the elements of the quality...
CHEST Journal App March 2019 It just got a whole lot easier to keep up with the most recent and compelling information in the multidisciplinary...
Search by Keyword