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首页> 外文期刊>The journal of clinical hypertension. >Physician cardiovascular disease risk factor management: practices in France vs the United States.
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Physician cardiovascular disease risk factor management: practices in France vs the United States.

机译：医师心血管疾病危险因素管理：法国与美国的比较。

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摘要

Cardiovascular risk factor management by French vs US primary care physicians was studied. A survey was conducted that found that French physicians spend >20 minutes while US physicians spend five to 10 minutes (P<.001) addressing cardiovascular risk with patients. Fifty-three percent of French (vs 33% of US) physicians focus more on lifestyle modification and less on medication management (P<.0001). Sixty-nine percent of French physicians spend 0% to 20% of their time on administration while 65% of US physicians spend 10% to 30% (P=.0028). Fifty-one percent of French physicians see patients in one to three months for follow-up, while 51% of US physicians see patients in three to six months (P<.0001). Eighty-seven percent of French (vs 39% of US) physicians have guidelines available in the examination room either frequently or very frequently. US physicians report disparities in care more frequently than do French physicians (P<.0001). Forty-nine percent of French (vs 10% of US) physicians believe that they have relative freedom to practice medicine (P<.001). US physicians report greater administrative efforts, frustration, and disparities in their practice. French physicians focus more of their efforts on lifestyle management and see their patients more frequently and for a longer visit time.
机译：研究了法国vs美国初级保健医生的心血管危险因素管理。进行的一项调查发现，法国医生花了20分钟以上的时间，而美国医生花了5至10分钟（P <.001）来解决患者的心血管风险。 53％的法国医生（美国为33％）的医生更多地关注生活方式的改变，而不是药物管理（P <.0001）。 69％的法国医生将0％到20％的时间用于管理，而65％的美国医生将10％到30％的时间用于管理（P = .0028）。 51％的法国医师在1-3个月内随访患者，而51％的美国医师在3至6个月内随访患者（P <.0001）。 87％的法国医生（美国的39％）的医生经常或非常频繁地在检查室提供指导。美国医生报告的护理差异比法国医生更高（P <.0001）。 49％的法国医生（美国为10％）认为他们相对自由地执业（P <.001）。美国医生报告说，他们在实践中付出了更大的行政努力，沮丧和差距。法国医生将更多精力投入到生活方式管理上，并更频繁地拜访患者，并延长他们的探访时间。

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