Quality of cardiovascular disease preventive care and physician/practice characteristics.

Journal of General Internal Medicine
Allison H ChristianLori Mosca

Abstract

Quality of cardiovascular disease (CVD) preventive care is suboptimal. Recent data correlated increasing years in practice for physicians with lower-quality health care. The purpose of this study was to assess physician awareness/adherence to national blood pressure, cholesterol, and CVD prevention guidelines for women according to physician/practice characteristics. Standardized online survey and experimental case studies were administered to 500 randomly selected U.S. physicians. Multivariable regression models tested physician age, gender, specialty, and practice type as independent predictors of guideline awareness/adherence. Compared with older physicians (50+ years), younger physicians (<50 years) reported a lower level of awareness of cholesterol guidelines (P=.04) and lower incorporation of women's guidelines (P=.02). Yet, older physicians were less likely to recommend weight management for high-risk cases (P=.03) and less confident in helping patients manage weight (P=.045) than younger physicians. Older physicians were also less likely to identify a low-density lipoprotein<100 mg/dL as optimal versus younger physicians (P=.01), as were solo versus nonsolo practitioners (P=.02). Solo practitioners were less aware of ch...Continue Reading

References

Nov 5, 1999·JAMA : the Journal of the American Medical Association·D A GaluskaE S Ford
Jun 8, 2001·QJM : Monthly Journal of the Association of Physicians·M D BeaulieuJ Brophy
Feb 22, 2002·The New England Journal of Medicine·Susan Z Yanovski, Jack A Yanovski
Mar 12, 2002·JAMA : the Journal of the American Medical Association·Rajendra H MehtaUNKNOWN GAP Steering Committee of the American College of Cardiology
May 16, 2003·JAMA : the Journal of the American Medical Association·Aram V ChobanianUNKNOWN National High Blood Pressure Education Program Coordinating Committee
Feb 6, 2004·Circulation·Lori MoscaUNKNOWN American Heart Association
Feb 16, 2005·Annals of Internal Medicine·Niteesh K ChoudhryStephen B Soumerai
Mar 9, 2005·The New England Journal of Medicine·Paul M RidkerJulie E Buring

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Citations

Apr 27, 2010·Journal of Thrombosis and Thrombolysis·Lynn NugentC Noel Bairey Merz
Jul 9, 2008·Current Atherosclerosis Reports·Cheryl Bushnell
May 29, 2007·The Pediatric Infectious Disease Journal·Sameer J PatelLisa Saiman
Jun 20, 2007·International Journal of Clinical Practice·L R Erhardt, F D R Hobbs
Feb 18, 2010·Circulation. Cardiovascular Quality and Outcomes·Judith HsiaUNKNOWN Women's Health Initiative Research Group
Apr 7, 2011·International Journal of Chronic Obstructive Pulmonary Disease·Gregory D SalinasJill A Foster
Oct 23, 2014·Women's Health·Sanam Baghshomali, Cheryl Bushnell
Jul 11, 2014·The American Journal of the Medical Sciences·Arthur R MenezesRichard V Milani
May 17, 2011·European Journal of Internal Medicine·Avishay ElisVarda Shalev
Nov 10, 2013·American Journal of Health Promotion : AJHP·Carrie N KlabundeAshley Wilder Smith
Feb 20, 2010·The Journal of Clinical Hypertension·Jing FangCarma Ayala
Jul 4, 2012·The American Journal of Medicine·Karla M DanielsDaniel E Forman
Apr 5, 2014·The American Journal of Cardiology·Brett M VictorDean G Karalis
Oct 12, 2010·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Mousa Al OmariKarem H Alzoubi
Feb 24, 2012·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Mohammed A MohammedTom Marshall
Apr 29, 2008·Arthritis and Rheumatism·Lisabeth V ScalziH Lester Kirchner
Oct 9, 2013·The Medical Journal of Australia·Carissa BonnerKirsten McCaffery
Apr 22, 2020·BMC Health Services Research·Raphaëlle DelpechLaurent Rigal
Jan 29, 2021·Journal of Human Hypertension·Colinne PatriceLaurent Rigal
Apr 15, 2021·Journal of Evaluation in Clinical Practice·Niamh ChapmanJames E Sharman
Aug 14, 2021·Cardiovascular Endocrinology & Metabolism·Garshasb P SorooshMichael J Blaha

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