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首页> 外文期刊>BMC Family Practice >Knowledge and attitudes of primary care physicians in the management of patients at risk for cardiovascular events
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Knowledge and attitudes of primary care physicians in the management of patients at risk for cardiovascular events

机译：基层医疗医生对有心血管事件风险的患者的管理知识和态度

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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 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.
机译：背景技术对于心血管疾病（CVD）管理的临床实践指南的遵守情况欠佳。这项研究的目的是确定美国普通内科医生和家庭医生在心血管疾病风险管理方面的实践模式和障碍，并研究医生特征与心血管疾病风险管理之间的关联。方法在2006年11月至12月之间，随机抽取了12,000名美国家庭医生和普通内科医师作为样本，重点研究了心血管疾病风险管理案例。结果采用了总共888名执业初级保健医生的回应，每周观察60名患者。进行分析。在无心血管事件风险低的无症状患者中，有28％的家庭医生和37％的普通内科医师针对无抗血小板治疗做出了基于指南的预防选择（p结论尽管已证明可以有效控制心血管风险，但初级保健从业者仍存在差距根据指南建议进行风险管理应对障碍的创新教育方法可以促进CVD风险管理中基于指南的建议的实施。

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