Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Specialty differences in cardiovascular disease prevention practices

R S Stafford1, D Blumenthal

  • 1General Medicine Division, Massachusetts General Hospital, Boston 02114, USA. stafford@gem.mgh.harvard.edu

Journal of the American College of Cardiology
|November 11, 1998
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The Effect of Chronic Kidney Disease on a Physical Activity Intervention: Impact on Physical Function, Adherence, and Safety.

Journal of clinical nephrology and renal care·2018
Same author

Identifying the ideal profile of French yogurts for different clusters of consumers.

Journal of dairy science·2016
Same author

Effects of a One-Year Physical Activity Program on Serum C-Terminal Agrin Fragment (CAF) Concentrations among Mobility-Limited Older Adults.

The journal of nutrition, health & aging·2015
Same author

A trial of inpatient indication based prescribing during computerized order entry with medications commonly used off-label.

Applied clinical informatics·2013
Same author

Association of age and packed red blood cell transfusion to 1-year survival--an observational study of ICU patients.

Transfusion medicine (Oxford, England)·2013
Same author

Off-label use of drugs and medical devices: a review of policy implications.

Clinical pharmacology and therapeutics·2012

Cardiologists are most likely to provide cardiovascular disease prevention services, while primary care physicians show significant variation. Addressing these differences is crucial for improving national cardiovascular disease prevention efforts.

Area of Science:

  • Cardiovascular medicine
  • Public health
  • Health services research

Background:

  • Cardiovascular disease (CVD) prevention is critical, yet national practices and physician specialty variations remain understudied.
  • Understanding differences in prevention service delivery across medical specialties is essential for targeted interventions.

Purpose of the Study:

  • To investigate how physician specialty influences the provision of cardiovascular disease prevention services.
  • To identify variations in preventive care practices among different medical specialties in the US.

Main Methods:

  • Analysis of 30,929 adult visits from the 1995 National Ambulatory Medical Care Survey.
  • Inclusion of 1,521 physicians selected via stratified random sampling.
  • Application of logistic regression models to assess the impact of physician specialty on prevention service delivery, controlling for patient and visit characteristics.

Related Experiment Videos

Main Results:

  • In 1995, US physicians provided various CVD prevention services, including blood pressure measurement (50%), cholesterol testing (5%), and counseling for exercise (12%), weight (6%), cholesterol (4%), and smoking (3%).
  • Medication management for hypertension (12%) and high cholesterol (2%) was also documented.
  • Cardiologists demonstrated a higher propensity (aOR 1.65) to provide these services compared to general internists, whereas obstetrician/gynecologists, family physicians, general practitioners, other medical specialists, and surgeons showed lower propensities.

Conclusions:

  • Cardiologists exhibit the highest likelihood of delivering cardiovascular disease prevention services.
  • Significant variability exists in the preventive practices of primary care physicians.
  • Findings highlight the need for strategies to standardize and improve cardiovascular disease prevention across all physician specialties.