Implementation of Spanish adaptation of the European guidelines on cardiovascular disease prevention in primary care
Brotons, Carlos (Institut d'Investigació Biomèdica Sant Pau)
Lobos, José María (Jazmín Primary Health Care Center)
Royo-Bordonada, Miguel Ángel (Instituto de Salud Carlos III)
Maiques, Antonio (Manises Health Care Center)
De Santiago, Ana (Centro Salud Cogolludo)
Castellanos, Ángel (Periodistas Primary Health Care Center)
Díaz-Sánchez, Santiago (Pintores Primary Health Care Center)
Obaya, Juan Carlos (Chopera Primary Care Center)
Pedro-Botet, Juan (Hospital del Mar (Barcelona, Catalunya))
Moral Peláez, Irene (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Lizarbe, Vicenta (Dirección General de Salud Pública, Calidad e Innovación)
Moreno, Rosa (Hospital Universitario de la Princesa (Madrid))
Pérez Pérez, Antonio (Institut d'Investigació Biomèdica Sant Pau)
Cordero, Alberto (Hospital Universitario San Juan de Alicante)
Fornés-Ubeda, Francisco (Salud Laboral de la Policía Local de Valencia)
Serrano-Saiz, Benilde (Sociedad Española de Medicina y Seguridad Del Trabajo)
Camafort Babkowski, Miguel (Hospital Clínic i Provincial de Barcelona)
Elosua, Roberto (Institut Hospital del Mar d'Investigacions Mèdiques)
Sans, Susana (Institut d'Estudis de la Salut)
De Pablo, Carmen (Hospital Universitario Ramón y Cajal (Madrid))
Gil-Nuñez, Antonio (Hospital General Universitario Gregorio Marañón)
De Álvaro-Moreno, Fernando (Hospital Universitario Infanta Sofía (San Sebastián de los Reyes))
Armario, Pedro (Universitat de Barcelona)
Cortés Rico, Olga (Health Care Center Canillejas)
Villar, Fernando (Instituto de Salud Carlos III)
Lizcano, Ángel (Universidad Rey Juan Carlos)
Universitat Autònoma de Barcelona

Data:	2013
Resum:	Background: The successful implementation of cardiovascular disease (CVD) prevention guidelines relies heavily on primary care physicians (PCPs) providing risk factor evaluation, intervention and patient education. The aim of this study was to ascertain the degree of awareness and implementation of the Spanish adaptation of the European guidelines on CVD prevention in clinical practice (CEIPC guidelines) among PCPs. Methods. A cross-sectional survey of PCPs was conducted in Spain between January and June 2011. A random sample of 1,390 PCPs was obtained and stratified by region. Data were collected by means of a self-administered questionnaire. Results: More than half (58%) the physicians were aware of and knew the recommendations, and 62% of those claimed to use them in clinical practice, with general physicians (without any specialist accreditation) being less likely to so than family doctors. Most PCPs (60%) did not assess cardiovascular risk, with the limited time available in the surgery being cited as the greatest barrier by 81%. The main reason to be sceptical about recommendations, reported by 71% of physicians, was that there are too many guidelines. Almost half the doctors cited the lack of training and skills as the greatest barrier to the implementation of lifestyle and behavioural change recommendations. Conclusions: Most PCPs were aware of the Spanish adaptation of the European guidelines on CVD prevention (CEIPC guidelines) and knew their content. However, only one third of PCPs used the guidelines in clinical practice and less than half CVD risk assessment tools. © 2013 Brotons et al. ; licensee BioMed Central Ltd.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Cardiovascular disease ; Implementation ; Practice guidelines ; Primary care providers ; Risk assessment
Publicat a:	BMC family practice, Vol. 14 (2013) , p. 36, ISSN 1471-2296

DOI: 10.1186/1471-2296-14-36
PMID: 23506390

7 p, 763.7 KB

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