Abstract:
BACKGROUND:Guidelines for primary prevention of cardiovascular disease provide little guidance on how patients' preferences should be taken into account. We wanted to explore whether general practitioners (GPs) are sensitive to patient preferences regarding survival gains from statin therapy. METHODS:In a cross sectional, online survey 3,270 Norwegian GPs were presented with a 55 year old patient with an unfavourable cardiovascular risk profile. He expressed preferences for statin therapy by indicating a minimum survival gain that would be considered a substantial benefit. This survival gain varied across six versions of the vignette: 8, 4 and 2 years, and 12, 6 and 3 months, respectively. Participants were randomly allocated to one version only. We asked whether the GPs would recommend the patient to take a statin. Subsequently we asked the GPs to estimate the average survival gain of life long simvastatin therapy for patients with a similar risk profile. RESULTS:We received 1,296 responses (40 %). Across levels of survival gains (8 years to 3 months) the proportion of GPs recommending statin therapy did not vary significantly (OR per level 1.07, 95 % CI 0.99 to 1.16). The GP's own estimate of survival gain was a statistically significant predictor of recommending therapy (OR per year adjusted for the GPs' age, sex, speciality attainment and number of patients listed 3.07, CI 2.55 to 3.69). CONCLUSION:GPs were insensitive to patient preferences regarding survival gain when recommending statin therapy. The GPs' recommendations were strongly associated with their own estimates of survival gain.
journal_name
BMC Fam Practjournal_title
BMC family practiceauthors
Halvorsen PA,Aasland OG,Kristiansen ISdoi
10.1186/s12875-015-0288-8subject
Has Abstractpub_date
2015-07-03 00:00:00pages
79issn
1471-2296pii
10.1186/s12875-015-0288-8journal_volume
16pub_type
杂志文章abstract:BACKGROUND:User reported experiences and satisfaction are increasingly used as basis for quality indicators in the health sector. However, there is limited understanding of factors associated with user reported experiences and satisfaction with casualty clinics. METHODS:A random sample of 542 patients that had contact...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-11-73
更新日期:2010-10-06 00:00:00
abstract:BACKGROUND:Despite evidence supporting the effectiveness of alcohol screening and brief advice to reduce heavy drinking, implementation in primary healthcare remains limited. The challenges that clinicians experience when delivering such interventions are well-known, but we have little understanding of the patient pers...
journal_title:BMC family practice
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更新日期:2020-04-22 00:00:00
abstract:BACKGROUND:Fax referral services that connect smokers to state quitlines have been implemented in 49 U.S. states and territories and promoted as a simple solution to improving smoker assistance in medical practice. This study is an in-depth examination of the systems-level changes needed to implement and sustain a fax ...
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pub_type: 杂志文章
doi:10.1186/1471-2296-10-81
更新日期:2009-12-17 00:00:00
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journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-018-0893-4
更新日期:2019-01-10 00:00:00
abstract:BACKGROUND:A well-functioning general practice sector that has a strong research component is recognised as a key foundation of any modern health system. General practitioners (GPs) are more likely to collaborate in research if they are part of an established research network. The primary aims of this study are to desc...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-020-1100-y
更新日期:2020-02-05 00:00:00
abstract:BACKGROUND:Inappropriate use of antidepressants (AD), defined as either continuation in the absence of a proper indication or continuation despite the lack of therapeutic efficacy, applies to approximately half of all long term AD users. METHODS/DESIGN:We have designed a cluster randomized controlled clinical trial to...
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pub_type: 杂志文章,随机对照试验
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更新日期:2013-01-08 00:00:00
abstract:BACKGROUND:The aim here was to explore trends in patient satisfaction with primary health care and its accessibility and continuity, and to explore whether through reforms and improvements some of the essential goals had been achieved over a 14-year period of time in Finland. METHODS:Nine questionnaire surveys were co...
journal_title:BMC family practice
pub_type: 杂志文章,多中心研究
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更新日期:2014-05-15 00:00:00
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journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-10-50
更新日期:2009-07-07 00:00:00
abstract:BACKGROUND:General practitioners (GPs) often manage individuals with work-related common mental disorders (CMD: depressive disorders, anxiety and alcohol abuse). However, little is known about the ways in which they proceed. The aim of this study is to analyze GPs' management and patterns of referral to other health pr...
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pub_type: 杂志文章
doi:10.1186/s12875-020-01203-z
更新日期:2020-07-02 00:00:00
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journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-14-119
更新日期:2013-08-15 00:00:00
abstract:BACKGROUND:There are a substantial number of instruments for primary-care clinicians to assess physical-activity (PA). However, there are few studies that have explored the views of clinicians regarding comparative acceptability and ease of use. A better understanding of how clinicians perceive instruments could help o...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-016-0536-6
更新日期:2016-09-22 00:00:00
abstract:BACKGROUND:It is common to find a high variability in the accuracy of heart failure (HF) diagnosis in electronic primary care medical records (EMR). Our aims were to ascertain (i) whether the prognosis of HF labelled patients whose ejection fraction (EF) was missing in their EMR differed from those that had it register...
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pub_type: 杂志文章
doi:10.1186/s12875-017-0612-6
更新日期:2017-03-17 00:00:00
abstract:BACKGROUND:Long-term needs of stroke survivors are often not adequately addressed and many patients are dissatisfied with care post-discharge from hospital. Primary care could play an important role in identifying need in people with stroke. AIM:We aimed to explore, refine and test the feasibility and acceptability of...
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pub_type: 杂志文章
doi:10.1186/s12875-018-0894-3
更新日期:2019-01-04 00:00:00
abstract:BACKGROUND:The prevalence of coexisting chronic conditions (multimorbidity) is rising. Disease labels, however, give little information about impact on subjective health and personal illness experience. We aim to examine the strength of association of single and multimorbid physical chronic diseases with self-rated hea...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-014-0185-6
更新日期:2014-11-25 00:00:00
abstract:BACKGROUND:Care for overweight children in general practice involves collaboration with parents. Acknowledging the parents' frames of references is a prerequisite for successful management. We therefore aimed to analyse parental beliefs about the presumed causes and consequences of overweight in children and expectatio...
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pub_type: 杂志文章
doi:10.1186/1471-2296-14-152
更新日期:2013-10-11 00:00:00
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pub_type: 杂志文章,评审
doi:10.1186/s12875-016-0431-1
更新日期:2016-03-24 00:00:00
abstract:BACKGROUND:Many lifestyle interventions for patients with prediabetes or type 2 diabetes mellitus (T2DM) have been investigated in randomised clinical trial settings. However, the translation of these programmes into primary care seems challenging and the prevalence of T2DM is increasing. Therefore, there is an urgent ...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-12-95
更新日期:2011-09-13 00:00:00
abstract:BACKGROUND:International disease management guidelines recommend the regular assessment of depression and anxiety in heart failure patients. Currently there is little data on the effect of screening for depression and anxiety on the quality of life and the prognosis of heart failure (HF). We will investigate the associ...
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pub_type: 杂志文章
doi:10.1186/1471-2296-14-180
更新日期:2013-11-27 00:00:00
abstract:BACKGROUND:Over 90% of antibiotics for human use in Europe are prescribed in primary care. We assessed the congruence between primary care treatment guidelines for skin infections and commensal Staphylococcus aureus (S. aureus) antimicrobial resistance levels in community-dwelling persons. METHODS:The prevalence of an...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-014-0175-8
更新日期:2014-10-25 00:00:00
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更新日期:2014-05-09 00:00:00
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更新日期:2014-11-30 00:00:00
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更新日期:2006-06-19 00:00:00
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journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-8-8
更新日期:2007-03-08 00:00:00
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journal_title:BMC family practice
pub_type: 杂志文章
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更新日期:2012-07-02 00:00:00
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journal_title:BMC family practice
pub_type: 杂志文章
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更新日期:2009-08-22 00:00:00
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journal_title:BMC family practice
pub_type: 杂志文章
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更新日期:2017-02-24 00:00:00
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journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-13-57
更新日期:2012-06-14 00:00:00
abstract:BACKGROUND:Primary care based management of long-term conditions (LTCs) is high on the international healthcare agenda, including the Asia-Pacific region. Hong Kong has a 'mixed economy' healthcare system with both public and private sectors with a range of types of primary care doctors. Recent Hong Kong Government pol...
journal_title:BMC family practice
pub_type: 杂志文章
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更新日期:2010-06-04 00:00:00
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pub_type: 杂志文章
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更新日期:2020-06-24 00:00:00