Knowledge and Application of Cardiovascular Disease Prevention Guidelines among Family Physicians: A Cross-sectional Study

Authors

  • Oleksii Korzh Department of General Practice-Family Medicine, Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine https://orcid.org/0000-0001-6838-4360
  • Yevgenii Nikolenko Department of General Practice-Family Medicine, V. N. Karazin Kharkiv National University, Kharkiv, Ukraine https://orcid.org/0000-0001-6838-4360
  • Anna Titkova Department of General Practice-Family Medicine, Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine https://orcid.org/0000-0003-0672-4723
  • Yelizaveta Lavrova Department of General Practice-Family Medicine, Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine https://orcid.org/0000-0001-6838-4360
  • Kira Vovk Department of General Practice-Family Medicine, V. N. Karazin Kharkiv National University, Kharkiv, Ukraine https://orcid.org/0000-0003-2971-0842

DOI:

https://doi.org/10.3889/oamjms.2021.6684

Keywords:

Cardiovascular disease, Prevention, Guidelines, Primary care, Knowledge

Abstract

BACKGROUND: Family physicians (FPs) play an important role in the prevention of cardiovascular disease (CVD).

AIM: This study aims to assess the determinants of FPs’ knowledge and application of cardiovascular preventive management guidelines at primary health-care setting in Ukraine.

MATERIALS AND METHODS: We performed a cross-sectional study conducted among the 226 FPs in Kharkiv Region, Ukraine. A self-administrated questionnaire was administered, exploring demographic, job characteristics, knowledge of CVD prevention guidelines, and application of CVD guidelines’ questions about the essential items related to diagnosis and management of CVD according to the international/local guidelines.

RESULTS: The results show a very low level of knowledge of guidelines among FPs with 85.8% scoring below the acceptable knowledge level. The guidelines were applied below the acceptable level with 51.3% scoring below the cutoff point. The results indicate that both average scores were below the minimum acceptable level. Lack of knowledge of the CVD preventive care was considered the biggest barrier (62.8%). Lack of counseling skills was the second major barrier (37.9%). Subjectivity of the questions was considered to be the third barrier (32.6%). Lack of counseling skills was the second major barrier (37.9%). Subjectivity of the questions was considered to be the third barrier (32.6%).

CONCLUSIONS: Recognizing the low level of knowledge and application of guidelines among primary care providers and working toward minimizing this problem can be through education, training, and monitoring of the application. This can potentially improve CVD preventive management among patients.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Roth GA, Huffman MD, Moran AE, Feigin V, Mensah GA, Naghavi M, et al. Global and regional patterns in cardiovascular mortality from 1990 to 2013. Circulation. 2015;132(17):1667-78. https://doi.org/10.1161/circulationaha.114.008720 PMid:26503749 DOI: https://doi.org/10.1161/CIRCULATIONAHA.114.008720

Sasieni PD, Wald NJ. Should a reduction in all-cause mortality be the goal when assessing preventive medical therapies? Circulation. 2017;135(21):1985-7. https://doi.org/10.1161/circulationaha.116.023359 PMid:28533316 DOI: https://doi.org/10.1161/CIRCULATIONAHA.116.023359

Jansen J, McKinn S, Bonner C, Irwig L, Doust J, Glasziou P, et al. General practitioners’ decision making about primary prevention of cardiovascular disease in older adults: A qualitative study. PLoS One. 2017;12(1):e0170228. https://doi.org/10.1371/journal.pone.0170228 PMid:28085944 DOI: https://doi.org/10.1371/journal.pone.0170228

Piepoli MF, Hoes AW, Agewall S, Albus C, Brotons C, Catapano Al, et al. 2016 European guidelines on cardiovascular disease prevention in clinical practice: The sixth joint task force of the European society of cardiology and other societies on cardiovascular disease prevention in clinical practice (constituted by representatives of 10 societies and by invited experts): Developed with the special contribution of the European association for cardiovascular prevention and rehabilitation (EACPR). Eur Heart J. 2016;37(29):2315-81. https://doi.org/10.1093/eurheartj/ehw106 PMid:27222591 DOI: https://doi.org/10.1093/eurheartj/ehw106

Heijmans N, van Lieshout J, Wensing M. Information exchange networks of health care providers and evidence-based cardiovascular risk management: An observational study. Implement Sci. 2017;12(1):7. PMid:28086813 DOI: https://doi.org/10.1186/s13012-016-0532-1

Byrne D, O’Connor L, Jennings S, Bennett K, Murphy AW. A survey of GPs awareness and use of risk assessment tools and cardiovascular disease prevention guidelines. Ir Med J. 2015;108(7):204-7. PMid:26349349

Unified Clinical Protocols of Primary, Secondary (Specialized) and Tertiary (Highly Specialized) Care (UKPMD). Prevention of Cardiovascular Disease; 2016.

Van Ness PH, Towle VR, Juthani-Mehta M. Testing measurement reliability in older populations: Methods for informed discrimination in instrument selection and application. J Aging Health. 2008;20(2):183-97. PMid:18089767 DOI: https://doi.org/10.1177/0898264307310448

Dyakova M, Shantikumar S, Colquitt JL, Drew CM, Sime M, MacIver J, et al. Systematic versus opportunistic risk assessment for the primary prevention of cardiovascular disease. Cochrane Database Syst Rev. 2016;1:CD010411. https://doi.org/10.1002/14651858.cd010411.pub2 PMid:26824223 DOI: https://doi.org/10.1002/14651858.CD010411.pub2

Chauhan U. Cardiovascular disease prevention in primary care. Br Med Bull. 2007;81-82:65-79. PMid:17339273 DOI: https://doi.org/10.1093/bmb/ldm002

Goff DC, Lloyd-Jones D, Bennett G, Coady S, D’Agostino RB, Gibbons R, et al. ACC/AHA guideline on the assessment of cardiovascular risk: A report of the American college of cardiology/American heart association task force on practice guidelines. Circulation. 2013;129(25 Suppl 2):S49-73. PMid:24222018 DOI: https://doi.org/10.1161/01.cir.0000437741.48606.98

Korzh O, Krasnokutskiy S. Significance of education and self-management support for patients with chronic heart failure in family physician practice. Fam Med Prim Care Rev. 2016;18(4):432-6. https://doi.org/10.5114/fmpcr.2016.63697 DOI: https://doi.org/10.5114/fmpcr.2016.63697

Barfoed BL, Paulsen MS, Christensen PM, Halvorsen PA, Jarbøl DE, Larsen ML, et al. Associations between patients’ adherence and GPs’ attitudes towards risk, statin therapy and management of non-adherence a survey and register-based study. Fam Pract. 2016;33(2):140-7. https://doi.org/10.1093/fampra/cmw005 PMid:26936208 DOI: https://doi.org/10.1093/fampra/cmw005

Murphy E, Vellinga A, Byrne M, Cupples ME, Murphy AW, Buckley B, et al. Primary care organisational interventions for secondary prevention of ischaemic heart disease: A systematic review and meta-analysis. Br J Gen Pract 2015;65(636):e460-8. https://doi.org/10.3399/bjgp15x685681 PMid:26120136 DOI: https://doi.org/10.3399/bjgp15X685681

Korzh O, Krasnokutskiy S, Pankova O. Improving the drug compliance of hypertensive patients in primary care: Importance of health education and self-management. Arch Balk Med Union. 2019;54(3):497-502. https://doi.org/10.31688/abmu.2019.54.3.15 DOI: https://doi.org/10.31688/ABMU.2019.54.3.15

Khan N, Marvel FA, Wang J, Martin SS. Digital health technologies to promote lifestyle change and adherence. Curr Treat Options Cardiovasc Med 2017;19(8):60. https://doi.org/10.1007/s11936-017-0560-4 PMid:28647844 DOI: https://doi.org/10.1007/s11936-017-0560-4

Cole JA, Smith SM, Hart N, Cupples ME. Do practitioners and friends support patients with coronary heart disease in lifestyle change? A qualitative study. BMC Fam Pract. 2013;14:126. https://doi.org/10.1186/1471-2296-14-126 PMid:23984815 DOI: https://doi.org/10.1186/1471-2296-14-126

Liew SM, Blacklock C, Hislop J, et al. Cardiovascular risk scores: Qualitative study of how primary care practitioners understand and use them. Br J Gen Pract. 2013;63(611):e401-7. https://doi.org/10.3399/bjgp13x668195 PMid:23735411 DOI: https://doi.org/10.3399/bjgp13X668195

Tanner RM, Safford MM, Monda KL, Taylor B, O’Beirne R, Morris M, et al. Primary care physician perspectives on barriers to statin treatment. Cardiovasc Drugs Ther. 2017;31(3):303-9. https://doi.org/10.1007/s10557-017-6738-x PMid:28710589 DOI: https://doi.org/10.1007/s10557-017-6738-x

Downloads

Published

2021-09-10

How to Cite

1.
Korzh O, Nikolenko Y, Titkova A, Lavrova Y, Vovk K. Knowledge and Application of Cardiovascular Disease Prevention Guidelines among Family Physicians: A Cross-sectional Study. Open Access Maced J Med Sci [Internet]. 2021 Sep. 10 [cited 2024 Mar. 29];9(B):990-5. Available from: https://oamjms.eu/index.php/mjms/article/view/6684