ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2001
The barriers to effective management of heart failure in general practice.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- Barriers to GPs' use of evidence-based medicine: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012Pooled it
- The REFER (REFer for EchocaRdiogram) protocol: a prospective validation of a clinical decision rule, NT-proBNP, or their combination, in the diagnosis of heart failure in primary care. Rationale and design.BMC cardiovascular disorders · 2012Trial
- Point-of-care ultrasound to evaluate volume status in congestive heart failure.Journal of cardiovascular imaging · 2026Review
- Clinician challenges to evidence-based prescribing for heart failure and reduced ejection fraction: A qualitative evaluation.Journal of evaluation in clinical practice · 2023Article
- A qualitative analysis of the barriers and enablers faced by Australian rural general practitioners in the non-pharmacological management of congestive heart failure in community dwelling patients.BMC health services research · 2022Article
- Barriers to conducting ambulatory and home blood pressure monitoring during hypertension screening in the United States.Journal of the American Society of Hypertension : JASH · 2017Article
- Primary Care Physician Perspectives on Barriers to Statin Treatment.Cardiovascular drugs and therapy · 2017Article
- How to Improve Adherence to Life-saving Heart Failure Treatments with Potassium Binders.Cardiac failure review · 2017Article
- Unplanned admissions and the organisational management of heart failure: a multicentre ethnographic, qualitative study.BMJ open · 2015Article
- Influence of patient age and comorbid burden on clinician attitudes toward heart failure guidelines.The American journal of geriatric pharmacotherapy · 2012Article
- Barriers to guideline implementation and educational needs of general practitioners regarding heart failure: a qualitative study.GMS Zeitschrift fur medizinische Ausbildung · 2012Article
- Physician and patient predictors of evidence-based prescribing in heart failure: a multilevel study.PloS one · 2012Article
- Article
- A taxonomy of reasons for not prescribing guideline-recommended medications for patients with heart failure.The American journal of geriatric pharmacotherapy · 2010Article
- Trends and inequities in beta-blocker prescribing for heart failure.The British journal of general practice : the journal of the Royal College of General Practitioners · 2008Article
- Healthcare providers need to improve communication with patients who have heart failure.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007Article
- Using a modified nominal group technique to elicit director of nursing input for an osteoporosis intervention.Journal of the American Medical Directors Association · 2006Article
- Barriers to detecting and treating hypercholesterolaemia in patients with ischaemic heart disease: primary care perceptions.The British journal of general practice : the journal of the Royal College of General Practitioners · 2005Article
- Perceived barriers for treatment of chronic heart failure in general practice; are they affecting performance?BMC family practice · 2005Article
- Physician, organisational and patient characteristics explaining the use of angiotensin converting enzyme inhibitors in heart failure treatment: a multilevel study.European journal of clinical pharmacology · 2005Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSeveral studies have shown that most patients with heart failure are not investigated and treated according to published guidelines. More effective management could reduce both mortality and morbidity from heart failure.
aimTo identify the reasons for gaps between recommended and actual management of heart failure in general practice. DESIGN OF STUDY: A nominal group technique was used to elicit general practitioners' (GPs') perceptions of the reasons for differences between observed and recommended practice.
settingTen Medical Research Council General Practice Framework practices in the North Thames region.
methodData were collected on the investigation and treatment of heart failure in the 10 participating practices and presented to 49 GPs and 10 practice nurses from those practices.
resultsOf the 674 patients requiring echocardiograms, 226 were referred for echocardiography (34%), and 183/391 (47%) with probable heart failure were prescribed angiotensin-converting enzyme inhibitors. A wide variety of barriers were elicited. The main barrier to the use of echocardiograms in the diagnosis of heart failure was lack of open access. The main barrier to the use of angiotensin-converting enzyme inhibitors in treating heart failure was GPs' concerns about their possible adverse effects.
conclusionThe barriers to the effective management of heart failure in general practice are complex. We recommend further research to establish whether multifaceted intervention programmes based on our findings can improve the management of heart failure in primary care.
Indexed as
Identifiers
11510388PMC1314069W2114312639What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.