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首页> 外文期刊>International Journal of Cardiology >The self-perceived role of general practitioners in care of patients with cardiovascular diseases. A survey in Central and Eastern European countries following health care reforms
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The self-perceived role of general practitioners in care of patients with cardiovascular diseases. A survey in Central and Eastern European countries following health care reforms

机译：全科医生在照顾心血管疾病患者中的自我感觉。医疗改革后中欧和东欧国家的一项调查

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Background: The aims of this study were: (1) to explore differences in primary care physicians' self-perception of care provided for patients with cardiovascular diseases in Central and Eastern European countries; (2) to analyse the relationship between physicians' characteristics and self-perceived care. Methods: A cross-sectional survey of 3000 primary care physicians randomly chosen from relevant registers in nine European countries was performed. Data were collected via anonymous questionnaire dedicated to care provided for patients with cardiovascular diseases. Results: Direct access to the basic additional tests essential in cardiovascular disease management was declared to be high. Considerable differences were found in the access to examinations requiring ultrasound techniques (p < 0.01). For global risk assessment 68.2% of physicians reported the use of the Systematic Coronary Risk Evaluation and 33.8% the Framingham model (p < 0.01). Nearly all physicians felt responsible for pharmacotherapy of hypertension but there were major differences related to treatment of diabetes mellitus type 2 and dyslipidemia. Relatively low numbers of family physicians/general practitioners would be prepared to start lipid lowering therapy with fibrates (12.5% in Estonia and 92.8% in Poland; p < 0.01). Only a weak relationship was found between characteristics of physicians and their self-perceived performance. Conclusions: Primary care physicians from Central and Eastern Europe accept their responsibility for care of patients with cardiovascular diseases and declare good access to basic additional examinations. Differences in treatment of diabetes mellitus and dyslipidemia cannot be explained by the characteristics of physicians and the explanation probably lies with other factors such as organisational or financial ones.
机译：背景：这项研究的目的是：（1）探索中欧和东欧国家为心血管疾病患者提供的初级保健医生自我护理的差异; （2）分析医生的特征与自我护理之间的关系。方法：对从9个欧洲国家/地区的相关登记册中随机选择的3000名初级保健医生进行了横断面调查。通过匿名问卷调查收集数据，该问卷专门用于为心血管疾病患者提供的护理。结果：直接参与心血管疾病管理必不可少的基本附加测试的机会很高。在接受超声技术检查的途径上发现了很大差异（p <0.01）。对于全球风险评估，有68.2％的医生报告说使用了系统性冠心病风险评估，而有33.8％的医生使用了Framingham模型（p <0.01）。几乎所有医生都认为对高血压的药物治疗负责，但是与2型糖尿病和血脂异常的治疗存在主要差异。相对较少的家庭医生/全科医生准备开始使用贝特类药物进行降脂治疗（爱沙尼亚为12.5％，波兰为92.8％; p <0.01）。在医生的特征与其自我感觉的表现之间仅发现了微弱的关系。结论：来自中欧和东欧的初级保健医生承担了他们对心血管疾病患者的护理责任，并宣布可以接受基本的附加检查。糖尿病的特征和血脂异常的治疗方法不能用医生的特征来解释，解释可能与组织或财务等其他因素有关。

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