一般医生的支持需要实施心血管疾病风险评估和管理指南:定性访谈
Carissa Bonner1, James E Sharman2, Shannon McKinn3
1MPH, PhD, Senior Research Fellow, The University of Sydney, Faculty of Medicine and Health, School of Public Health, Camperdown,NSW.
Australian journal of general practice
|September 3, 2024
概括
一般医生 (GPs) 仍然面临使用心血管疾病 (CVD) 风险指南的障碍. 由于对准确性和个性化的担忧,一般医生会调整风险评估,强调需要更新支持.
科学领域:
- 心脏病学 心脏病学
- 一般的做法一般的做法
- 医疗保健服务研究 医疗服务研究
背景情况:
- 之前的研究发现了全科医生 (GP) 采用心血管疾病 (CVD) 风险指南的障碍.
- 目前尚不清楚这些先前确定的障碍是否还存在.
- 这项研究调查了最近的GP与心血管疾病风险评估的经验.
研究的目的:
- 探索目前医生使用心血管疾病风险评估指南的障碍和适应.
- 了解一般医生如何在临床实践中应用心血管疾病风险指南时应对挑战.
主要方法:
- 2021年澳大利亚州18名全科医生的面试进行的定性研究.
- 对转录的采访进行框架分析.
- 数据映射到五种心脏病风险评估策略:绝对风险集中,绝对风险调整,临床判断,被动忽视和积极忽视.
主要成果:
- 一般医生使用各种心血管疾病风险计算器,但对准确性,包括额外的风险因素和个性化评估表示担忧.
- 一般医生通过订购额外的测试来解决这些问题,主观地修改风险评估以考虑额外的因素,并专注于个体风险概况.
- 调整表明在指导方针实施方面存在持续的挑战.
结论:
- 对于一般医生来说,实施心血管疾病风险评估指南仍然存在重大障碍.
- 加强全科医生支持对于成功实施修订的心血管疾病风险指南至关重要.
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