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Family Physicians' attitudes and practice toward prevention and treatment of cardiovascular disease
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Ali Sohrabnejad1   , Yousef Veisani1 , Abdorrahim Afkhamzadeh * 2, Abdorrahim Afkhamzadeh3 , Shahab Rezaeian4 |
1- Ilam University of Medical Sciences
2- Ilam University of Medical Sciences , alidelpisheh@yahoo.com
3- Kourdestan University of Medical Sciences
4- Shiraz University of Medical Sciences |
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Abstract: (12420 Views) |
| Background: Cardiovascular diseases (CVD) are the main cause of mortality in both men and women in Iran. The present study aimed to determine family physicians' attitude and practice toward prevention and treatment of cardiovascular diseases.
Methods: A descriptive analytical study of 67 family physicians working in urban and rural health centers of Ilam University of Medical Sciences was conducted. A validated questionnaire completed by GPs in three months interval was used for data collection.
Findings: From physicians contributing to the project, 55 completed questionnaires (response rate 78%). They knew important risk factors for CVD but had different attitudes toward efficacy of treatment. Majority of physicians (75.8%) had regularly ordered cholesterol measurement as part of their initial assessment for patients. When patients have an initial satisfactory cholesterol level, (26)47.3% re-measured it annually, (2)3.6% after 2 years, and (27)49.1% every 5 years. Urban physicians compared to rural physicians, were more likely to believe the effectiveness of relationship with patients to influencing preventive practices (OR = 3.59, CI95%: 1.57 to 10.99, P= 0.008).
Conclusions: Despite of common attitudes about risk factors of CVDs, family physicians had different views on effectiveness of those methods. Family physicians' practice was different about the goals for treatment of hypertension, LDL and TG. Variations that were observed in family physicians' attitudes and practice could influence intervention strategies. |
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| Keywords: Cardiovascular diseases (CVD), family physician, prevention |
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Full-Text [PDF 454 kb]
(2383 Downloads)
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Type of Study: Research |
Subject:
public health
Received: 2013/09/17 | Accepted: 2013/11/18 | Published: 2014/01/13
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