Barriers to implementing cardiovascular risk tables in routine general practice
Design Qualitative study. GPs were interviewed after analysing two audiotaped cardiovascular consultations.Setting Primary health care.Subjects A sample of 15 GPs who audiotaped 22 consultations.Main outcome measures Barriers hampering GPs from following the guideline.Results Data saturation was rea...
Gespeichert in:
| Veröffentlicht in: | Scandinavian journal of primary health care 2004-03, Vol.22 (1), p.32-37 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 37 |
|---|---|
| container_issue | 1 |
| container_start_page | 32 |
| container_title | Scandinavian journal of primary health care |
| container_volume | 22 |
| creator | Steenkiste, Ben van Weijden, Trudy van der Stoffers, Henri E. J. H. Grol, Richard |
| description | Design Qualitative study. GPs were interviewed after analysing two audiotaped cardiovascular consultations.Setting Primary health care.Subjects A sample of 15 GPs who audiotaped 22 consultations.Main outcome measures Barriers hampering GPs from following the guideline.Results Data saturation was reached after about 13 interviews. The 25 identified barriers were related to the risk table, the GP or to environmental factors. Lack of knowledge and poor communication skills of the GP, along with pressure of work and demanding patients, cause GPs to deviate from the guideline. GPs regard barriers external to themselves as most important.Conclusion Using the risk table as a key element of the high-risk approach in primary prevention encounters many barriers. Merely incorporating risk tables in guidelines is not sufficient for implementation of the guidelines. Time-efficient implementation strategies dealing in particular with the communication and presentation of cardiovascular risk are needed. |
| doi_str_mv | 10.1080/02813430310004489 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_57198071</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>57198071</sourcerecordid><originalsourceid>FETCH-LOGICAL-c476t-c07e1463453b0c5f7dc83f25c613b42a23652a252b6ca5057cf5edd4cace3ec63</originalsourceid><addsrcrecordid>eNqFkU1v1DAQhi0EotvCD-CCfOKWMv6KvYILVC1UqtQLnC3HmbQuTryME1D_Pal2JYSQ2ovn4Od9NXqGsTcCTgU4eA_SCaUVKAEAWrvtM7YRBmRjrdTP2ebhv1kBecSOa70DEA626iU7EkaIrRFuw64_B6KEVPlceBp3GUec5jTd8BioT-VXqHHJgTil-oPPoctYeZo4lWWlkN_ghBQy31GIc4r4ir0YQq74-jBP2PeL829nX5ur6y-XZ5-umqhtOzcRLArdKm1UB9EMto9ODdLEVqhOyyBVa9bXyK6NwYCxcTDY9zqGiApjq07Yu33vjsrPBevsx1Qj5hwmLEv1VjinWwlPgsaKrQMrVlDswUilVsLB7yiNge69AP-g2_-ne828PZQv3Yj938TB7wp83ANpGgqN4Xeh3Ps53OdCA4UppurVY_0f_onfYsjz7XoZ9HdloWk1_Mh2fwDpgaAa</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>57198071</pqid></control><display><type>article</type><title>Barriers to implementing cardiovascular risk tables in routine general practice</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Steenkiste, Ben van ; Weijden, Trudy van der ; Stoffers, Henri E. J. H. ; Grol, Richard</creator><creatorcontrib>Steenkiste, Ben van ; Weijden, Trudy van der ; Stoffers, Henri E. J. H. ; Grol, Richard</creatorcontrib><description>Design Qualitative study. GPs were interviewed after analysing two audiotaped cardiovascular consultations.Setting Primary health care.Subjects A sample of 15 GPs who audiotaped 22 consultations.Main outcome measures Barriers hampering GPs from following the guideline.Results Data saturation was reached after about 13 interviews. The 25 identified barriers were related to the risk table, the GP or to environmental factors. Lack of knowledge and poor communication skills of the GP, along with pressure of work and demanding patients, cause GPs to deviate from the guideline. GPs regard barriers external to themselves as most important.Conclusion Using the risk table as a key element of the high-risk approach in primary prevention encounters many barriers. Merely incorporating risk tables in guidelines is not sufficient for implementation of the guidelines. Time-efficient implementation strategies dealing in particular with the communication and presentation of cardiovascular risk are needed.</description><identifier>ISSN: 0281-3432</identifier><identifier>EISSN: 1502-7724</identifier><identifier>DOI: 10.1080/02813430310004489</identifier><identifier>PMID: 15119518</identifier><language>eng</language><publisher>United States: Informa UK Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Cardiovascular diseases ; Cardiovascular Diseases - etiology ; Cardiovascular Diseases - prevention & control ; Clinical Competence ; Family Practice - standards ; Female ; General practitioners ; Guideline Adherence - statistics & numerical data ; Guidelines ; Health care ; health plan implementation ; Humans ; Implementation ; Interviews as Topic ; Male ; Middle Aged ; Netherlands ; practice guidelines ; Practice Guidelines as Topic ; Primary Health Care - standards ; Qualitative Research ; Quality Assurance, Health Care ; Risk Assessment - statistics & numerical data ; Risk Factors ; Risks</subject><ispartof>Scandinavian journal of primary health care, 2004-03, Vol.22 (1), p.32-37</ispartof><rights>2004 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2004</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c476t-c07e1463453b0c5f7dc83f25c613b42a23652a252b6ca5057cf5edd4cace3ec63</citedby><cites>FETCH-LOGICAL-c476t-c07e1463453b0c5f7dc83f25c613b42a23652a252b6ca5057cf5edd4cace3ec63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902,30977</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15119518$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Steenkiste, Ben van</creatorcontrib><creatorcontrib>Weijden, Trudy van der</creatorcontrib><creatorcontrib>Stoffers, Henri E. J. H.</creatorcontrib><creatorcontrib>Grol, Richard</creatorcontrib><title>Barriers to implementing cardiovascular risk tables in routine general practice</title><title>Scandinavian journal of primary health care</title><addtitle>Scand J Prim Health Care</addtitle><description>Design Qualitative study. GPs were interviewed after analysing two audiotaped cardiovascular consultations.Setting Primary health care.Subjects A sample of 15 GPs who audiotaped 22 consultations.Main outcome measures Barriers hampering GPs from following the guideline.Results Data saturation was reached after about 13 interviews. The 25 identified barriers were related to the risk table, the GP or to environmental factors. Lack of knowledge and poor communication skills of the GP, along with pressure of work and demanding patients, cause GPs to deviate from the guideline. GPs regard barriers external to themselves as most important.Conclusion Using the risk table as a key element of the high-risk approach in primary prevention encounters many barriers. Merely incorporating risk tables in guidelines is not sufficient for implementation of the guidelines. Time-efficient implementation strategies dealing in particular with the communication and presentation of cardiovascular risk are needed.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Cardiovascular diseases</subject><subject>Cardiovascular Diseases - etiology</subject><subject>Cardiovascular Diseases - prevention & control</subject><subject>Clinical Competence</subject><subject>Family Practice - standards</subject><subject>Female</subject><subject>General practitioners</subject><subject>Guideline Adherence - statistics & numerical data</subject><subject>Guidelines</subject><subject>Health care</subject><subject>health plan implementation</subject><subject>Humans</subject><subject>Implementation</subject><subject>Interviews as Topic</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Netherlands</subject><subject>practice guidelines</subject><subject>Practice Guidelines as Topic</subject><subject>Primary Health Care - standards</subject><subject>Qualitative Research</subject><subject>Quality Assurance, Health Care</subject><subject>Risk Assessment - statistics & numerical data</subject><subject>Risk Factors</subject><subject>Risks</subject><issn>0281-3432</issn><issn>1502-7724</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkU1v1DAQhi0EotvCD-CCfOKWMv6KvYILVC1UqtQLnC3HmbQuTryME1D_Pal2JYSQ2ovn4Od9NXqGsTcCTgU4eA_SCaUVKAEAWrvtM7YRBmRjrdTP2ebhv1kBecSOa70DEA626iU7EkaIrRFuw64_B6KEVPlceBp3GUec5jTd8BioT-VXqHHJgTil-oPPoctYeZo4lWWlkN_ghBQy31GIc4r4ir0YQq74-jBP2PeL829nX5ur6y-XZ5-umqhtOzcRLArdKm1UB9EMto9ODdLEVqhOyyBVa9bXyK6NwYCxcTDY9zqGiApjq07Yu33vjsrPBevsx1Qj5hwmLEv1VjinWwlPgsaKrQMrVlDswUilVsLB7yiNge69AP-g2_-ne828PZQv3Yj938TB7wp83ANpGgqN4Xeh3Ps53OdCA4UppurVY_0f_onfYsjz7XoZ9HdloWk1_Mh2fwDpgaAa</recordid><startdate>200403</startdate><enddate>200403</enddate><creator>Steenkiste, Ben van</creator><creator>Weijden, Trudy van der</creator><creator>Stoffers, Henri E. J. H.</creator><creator>Grol, Richard</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>200403</creationdate><title>Barriers to implementing cardiovascular risk tables in routine general practice</title><author>Steenkiste, Ben van ; Weijden, Trudy van der ; Stoffers, Henri E. J. H. ; Grol, Richard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c476t-c07e1463453b0c5f7dc83f25c613b42a23652a252b6ca5057cf5edd4cace3ec63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Cardiovascular diseases</topic><topic>Cardiovascular Diseases - etiology</topic><topic>Cardiovascular Diseases - prevention & control</topic><topic>Clinical Competence</topic><topic>Family Practice - standards</topic><topic>Female</topic><topic>General practitioners</topic><topic>Guideline Adherence - statistics & numerical data</topic><topic>Guidelines</topic><topic>Health care</topic><topic>health plan implementation</topic><topic>Humans</topic><topic>Implementation</topic><topic>Interviews as Topic</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Netherlands</topic><topic>practice guidelines</topic><topic>Practice Guidelines as Topic</topic><topic>Primary Health Care - standards</topic><topic>Qualitative Research</topic><topic>Quality Assurance, Health Care</topic><topic>Risk Assessment - statistics & numerical data</topic><topic>Risk Factors</topic><topic>Risks</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Steenkiste, Ben van</creatorcontrib><creatorcontrib>Weijden, Trudy van der</creatorcontrib><creatorcontrib>Stoffers, Henri E. J. H.</creatorcontrib><creatorcontrib>Grol, Richard</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Scandinavian journal of primary health care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Steenkiste, Ben van</au><au>Weijden, Trudy van der</au><au>Stoffers, Henri E. J. H.</au><au>Grol, Richard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Barriers to implementing cardiovascular risk tables in routine general practice</atitle><jtitle>Scandinavian journal of primary health care</jtitle><addtitle>Scand J Prim Health Care</addtitle><date>2004-03</date><risdate>2004</risdate><volume>22</volume><issue>1</issue><spage>32</spage><epage>37</epage><pages>32-37</pages><issn>0281-3432</issn><eissn>1502-7724</eissn><abstract>Design Qualitative study. GPs were interviewed after analysing two audiotaped cardiovascular consultations.Setting Primary health care.Subjects A sample of 15 GPs who audiotaped 22 consultations.Main outcome measures Barriers hampering GPs from following the guideline.Results Data saturation was reached after about 13 interviews. The 25 identified barriers were related to the risk table, the GP or to environmental factors. Lack of knowledge and poor communication skills of the GP, along with pressure of work and demanding patients, cause GPs to deviate from the guideline. GPs regard barriers external to themselves as most important.Conclusion Using the risk table as a key element of the high-risk approach in primary prevention encounters many barriers. Merely incorporating risk tables in guidelines is not sufficient for implementation of the guidelines. Time-efficient implementation strategies dealing in particular with the communication and presentation of cardiovascular risk are needed.</abstract><cop>United States</cop><pub>Informa UK Ltd</pub><pmid>15119518</pmid><doi>10.1080/02813430310004489</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0281-3432 |
| ispartof | Scandinavian journal of primary health care, 2004-03, Vol.22 (1), p.32-37 |
| issn | 0281-3432 1502-7724 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_57198071 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Adolescent Adult Aged Cardiovascular diseases Cardiovascular Diseases - etiology Cardiovascular Diseases - prevention & control Clinical Competence Family Practice - standards Female General practitioners Guideline Adherence - statistics & numerical data Guidelines Health care health plan implementation Humans Implementation Interviews as Topic Male Middle Aged Netherlands practice guidelines Practice Guidelines as Topic Primary Health Care - standards Qualitative Research Quality Assurance, Health Care Risk Assessment - statistics & numerical data Risk Factors Risks |
| title | Barriers to implementing cardiovascular risk tables in routine general practice |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-29T02%3A21%3A00IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Barriers%20to%20implementing%20cardiovascular%20risk%20tables%20in%20routine%20general%20practice&rft.jtitle=Scandinavian%20journal%20of%20primary%20health%20care&rft.au=Steenkiste,%20Ben%20van&rft.date=2004-03&rft.volume=22&rft.issue=1&rft.spage=32&rft.epage=37&rft.pages=32-37&rft.issn=0281-3432&rft.eissn=1502-7724&rft_id=info:doi/10.1080/02813430310004489&rft_dat=%3Cproquest_cross%3E57198071%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=57198071&rft_id=info:pmid/15119518&rfr_iscdi=true |