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Examination of physicians' adherence to the 2013 ACC/AHA statin/cholesterol guidelines using a framework of awareness to adherence: A cross-sectional study.
Fleming, Marc L; Rege, Sanika; Johnson, Michael L; Serna, Omar; Esse, Tara; Choi, Jeannie; Abughosh, Susan M.
Afiliación
  • Fleming ML; Department of Pharmacotherapy, University of North Texas System College of Pharmacy, Fort Worth, TX, USA.
  • Rege S; Department of Pharmaceutical Health Outcomes and Policy, University of Houston College of Pharmacy, Houston, TX, USA.
  • Johnson ML; Department of Pharmaceutical Health Outcomes and Policy, University of Houston College of Pharmacy, Houston, TX, USA.
  • Serna O; CareAllies, Houston, TX, USA.
  • Esse T; CareAllies, Houston, TX, USA.
  • Choi J; Sanofi, Bridgewater, NJ, USA.
  • Abughosh SM; Department of Pharmaceutical Health Outcomes and Policy, University of Houston College of Pharmacy, Houston, TX, USA.
JRSM Cardiovasc Dis ; 9: 2048004020947298, 2020.
Article en En | MEDLINE | ID: mdl-32874555
BACKGROUND: Currently, limited data exists regarding primary care physicians' awareness and implementation of the 2013 cholesterol guidelines. OBJECTIVES: To evaluate primary care physicians' adherence to the 2013 ACC/AHA cholesterol management guidelines using the framework of the awareness-to-adherence model. METHODS: The study was a cross-sectional pre-post survey design based on the constructs of the awareness-to-adherence model to capture physicians' awareness of, agreement with, adoption of, and adherence to the 2013 ACC/AHA guidelines for cholesterol treatment and statin and cholesterol management software applications. Physicians with a Medicare Advantage organization in Texas were surveyed before and after educational interventions. RESULTS: A total of 170 responses were considered usable (post-survey). A significant difference was observed when physicians were divided into 2 groups (any intervention vs no intervention) (P = .027). Physicians with a higher level of agreement were 4.8 times more likely to be adherent to the guidelines (P = .011), compared with those with a lower level of agreement. Also, physicians practicing in the Rio Grande Valley area were 4.7 times more likely to be adherent to the guidelines (P = .001) compared with those from the Greater Houston area. CONCLUSION: A high level of awareness, but a lower level of adherence to the guidelines was reported among responding physicians. The awareness-to-adherence model was useful in examining physicians' level of adherence to the cholesterol guidelines and the utilization of statin and cholesterol management cellular apps and online websites. Future studies are required to examine physicians' adoption and adherence of new guidelines.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline / Observational_studies / Prevalence_studies / Qualitative_research Idioma: En Revista: JRSM Cardiovasc Dis Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline / Observational_studies / Prevalence_studies / Qualitative_research Idioma: En Revista: JRSM Cardiovasc Dis Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido