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Title: Barriers to apply cardiovascular prediction rules in primary care : a postal survey
Authors : Eichler, Klaus
Zoller, Marco
Tschudi, Peter
Steurer, Johann
Published in : BMC family practice
Volume(Issue) : 8
Issue : 1
Publisher / Ed. Institution : BioMed Central
Issue Date: 2007
License (according to publishing contract) : CC BY 2.0: Attribution 2.0 Generic
Type of review: Peer review (publication)
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.
Departement: School of Management and Law
Organisational Unit: Winterthur Institute of Health Economics (WIG)
Publication type: Article in scientific journal
DOI : 10.21256/zhaw-4878
ISSN: 1471-2296
Appears in Collections:Publikationen School of Management and Law

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