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https://doi.org/10.21256/zhaw-4878| Publication type: | Article in scientific journal |
| Type of review: | Peer review (publication) |
| Title: | Barriers to apply cardiovascular prediction rules in primary care : a postal survey |
| Authors: | Eichler, Klaus Zoller, Marco Tschudi, Peter Steurer, Johann |
| DOI: | 10.21256/zhaw-4878 10.1186/1471-2296-8-1 |
| Published in: | BMC Family Practice |
| Volume(Issue): | 8 |
| Issue: | 1 |
| Issue Date: | 2007 |
| Publisher / Ed. Institution: | BioMed Central |
| ISSN: | 1471-2296 |
| Language: | English |
| Subjects: | General physician; Postal survey; Prediction rule; Global risk; Single risk factor |
| Subject (DDC): | 616: Internal medicine and diseases |
| Abstract: | Background: Although cardiovascular prediction rules are recommended by guidelines to evaluate global cardiovascular risk for primary prevention, they are rarely used in primary care. Little is known about barriers for application. The objective of this study was to evaluate barriers impeding the application of cardiovascular prediction rules in primary prevention. Methods: We performed a postal survey among general physicians in two Swiss Cantons by a purpose designed questionnaire. Results: 356 of 772 dispatched questionnaires were returned (response rate 49.3%). About three quarters (74%) of general physicians rarely or never use cardiovascular prediction rules. Most often stated barriers to apply prediction rules among rarely- or never-users are doubts concerning over-simplification of risk assessment using these instruments (58%) and potential risk of (medical) over-treatment (54%). 57% report that the numerical information resulting from prediction rules is often not helpful for decision-making in practice. Conclusion: If regular application of cardiovascular prediction rules in primary care is in demand additional interventions are needed to increase acceptance of these tools for patient management among general physicians. |
| URI: | https://digitalcollection.zhaw.ch/handle/11475/12839 |
| Fulltext version: | Published version |
| License (according to publishing contract): | CC BY 2.0: Attribution 2.0 Generic |
| Departement: | School of Management and Law |
| Organisational Unit: | Winterthur Institute of Health Economics (WIG) |
| Appears in collections: | Publikationen School of Management and Law |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| 2007_Eichler_Barriers_to_apply_cardiovascular_prediction_rules.pdf | 227.96 kB | Adobe PDF |  View/Open |
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Eichler, K., Zoller, M., Tschudi, P., & Steurer, J. (2007). Barriers to apply cardiovascular prediction rules in primary care : a postal survey. BMC Family Practice, 8(1). https://doi.org/10.21256/zhaw-4878
Eichler, K. et al. (2007) ‘Barriers to apply cardiovascular prediction rules in primary care : a postal survey’, BMC Family Practice, 8(1). Available at: https://doi.org/10.21256/zhaw-4878.
K. Eichler, M. Zoller, P. Tschudi, and J. Steurer, “Barriers to apply cardiovascular prediction rules in primary care : a postal survey,” BMC Family Practice, vol. 8, no. 1, 2007, doi: 10.21256/zhaw-4878.
EICHLER, Klaus, Marco ZOLLER, Peter TSCHUDI und Johann STEURER, 2007. Barriers to apply cardiovascular prediction rules in primary care : a postal survey. BMC Family Practice. 2007. Bd. 8, Nr. 1. DOI 10.21256/zhaw-4878
Eichler, Klaus, Marco Zoller, Peter Tschudi, and Johann Steurer. 2007. “Barriers to Apply Cardiovascular Prediction Rules in Primary Care : A Postal Survey.” BMC Family Practice 8 (1). https://doi.org/10.21256/zhaw-4878.
Eichler, Klaus, et al. “Barriers to Apply Cardiovascular Prediction Rules in Primary Care : A Postal Survey.” BMC Family Practice, vol. 8, no. 1, 2007, https://doi.org/10.21256/zhaw-4878.
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