ArticleJournal of general internal medicine2006
Quality of cardiovascular disease preventive care and physician/practice characteristics.
Article in Journal of general internal medicine, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Systematic Review: Association Between Physicians' Clinical Experience and Quality of Care and Patient Outcomes.Journal of general internal medicine · 2026Pooled it
- The Role of Physician and Practice Characteristics in the Quality of Diabetes Management in Primary Care: Systematic Review and Meta-analysis.Journal of general internal medicine · 2020Pooled it
- Single-case experimental designs: a systematic review of published research and current standards.Psychological methods · 2012Pooled it
- Mixed methods evaluation of targeted case finding for cardiovascular disease prevention using a stepped wedged cluster RCT.BMC public health · 2012Trial
- Evaluation of the American Heart Association cardiovascular disease prevention guideline for women.Circulation. Cardiovascular quality and outcomes · 2010Trial
- Cardiovascular endpoints and psychosocial challenges of lipoprotein(a) of 5726 participants in the ELITE-study over 5 years.Lipids in health and disease · 2025Article
- Stroke prophylaxis after US emergency department diagnosis and discharge of patients with atrial fibrillation and flutter from 21 hospitals.International journal of emergency medicine · 2025Article
- Evaluating the Knowledge and Practices of General Practitioners in Cardiovascular Risk Assessment at Three Referral Hospitals in Bujumbura, Burundi.The East African health research journal · 2025Article
- Kidney Transplantation Contraindications: Variation in Nephrologist Practice and Training Vintage.Kidney international reports · 2024Article
- 'Primary health care research & development · 2023Article
- Association of clinical competence, specialty and physician country of origin with opioid prescribing for chronic pain: a cohort study.BMJ quality & safety · 2022Article
- Differences based on patient gender in the management of hypertension: a multilevel analysis.Journal of human hypertension · 2021Article
- Cardiometabolic medicine: a review of the current proposed approaches to revamped training in the United States.Cardiovascular endocrinology & metabolism · 2021Review
- Physicians' preventive practices: more frequently performed for male patients and by female physicians.BMC health services research · 2020Article
- Management of chronic spontaneous urticaria: a worldwide perspective.The World Allergy Organization journal · 2018Article
- General Practitioners' Decision Making about Primary Prevention of Cardiovascular Disease in Older Adults: A Qualitative Study.PloS one · 2017Article
- Physician experience and outcomes among patients admitted to general internal medicine teaching wards.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2015Article
- Communicating cardiovascular disease risk: an interview study of General Practitioners' use of absolute risk within tailored communication strategies.BMC family practice · 2014Article
- Which practice characteristics are associated with the quality of cardiovascular disease prevention in European primary care?Implementation science : IS · 2013Article
- Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundQuality of cardiovascular disease (CVD) preventive care is suboptimal. Recent data correlated increasing years in practice for physicians with lower-quality health care.
objectiveThe purpose of this study was to assess physician awareness/adherence to national blood pressure, cholesterol, and CVD prevention guidelines for women according to physician/practice characteristics.
designStandardized online survey and experimental case studies were administered to 500 randomly selected U.S. physicians. Multivariable regression models tested physician age, gender, specialty, and practice type as independent predictors of guideline awareness/adherence.
resultsCompared with older physicians (50+ years), younger physicians (<50 years) reported a lower level of awareness of cholesterol guidelines (P=.04) and lower incorporation of women's guidelines (P=.02). Yet, older physicians were less likely to recommend weight management for high-risk cases (P=.03) and less confident in helping patients manage weight (P=.045) than younger physicians. Older physicians were also less likely to identify a low-density lipoprotein<100 mg/dL as optimal versus younger physicians (P=.01), as were solo versus nonsolo practitioners (P=.02). Solo practitioners were less aware of cholesterol guidelines (P=.04) and were more likely to prescribe aspirin for low-risk female patients than nonsolo practitioners (P<.01). Solo practitioners rated their clinical judgment as more effective than guidelines in improving patient health outcomes (P<.01) and more frequently rated the patient as the greatest barrier to CVD prevention versus nonsolo practitioners (P<.01).
conclusionsThough guideline awareness is high, efforts to promote their utilization are needed and may improve quality outcomes. Targeted education and support for CVD prevention may be helpful to older and solo physicians.
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