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Statin initiation by GPs in WA - A structured vignette study
Citation
Stafford, L and Harmer, N and Dhaliwal, S and Jiwa, M, Statin initiation by GPs in WA - A structured vignette study, Australian Family Physician, 38, (9) pp. 739-742. ISSN 0300-8495 (2009) [Refereed Article]
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Copyright Statement
Copyright © 2009 Australian Family Physician. Reproduced with permission. Permission to reproduce must be sought from the publisher, The Royal Australian College of General Practitioners.
Official URL: http://www.afp.org.au.
Abstract
BACKGROUND Statins are recommended for all patients with known coronary heart disease. This pilot study investigated statin initiation by a Western Australian general practitioner cohort and the influence of prescriber and patient characteristics on prescribing.
METHODS A structured vignette questionnaire was posted to members of the Fremantle GP Network. Respondents indicated their prescribing decisions for nine hypothetical patients who had recently suffered a myocardial infarction. Data analysis utilised logistic regression analyses and a generalised linear model with a logit link function.
RESULTS Fifty-five GPs responded (16.0% response rate). In over 20% of cases a statin was not prescribed. Male (OR 4.71; 95% CI: 1.24–17.87) and GPs with fewer years in practice (4.50; 1.21–16.77) were more likely to prescribe appropriately. Younger patients (2.21; 1.38–3.53), and those with diabetes (1.74; 1.09–2.76) or hypercholesterolaemia (4.81; 2.88–8.03) were more likely to receive therapy.
Item Details
| Item Type: | Refereed Article |
|---|---|
| Keywords: | The National Heart Foundation of Australia, The Cardiac Society of Australia and New Zealand, statins, coronary heart disease, vignette. |
| Research Division: | Medical and Health Sciences |
| Research Group: | Pharmacology and Pharmaceutical Sciences |
| Research Field: | Clinical Pharmacology and Therapeutics |
| Objective Division: | Health |
| Objective Group: | Clinical Health (Organs, Diseases and Abnormal Conditions) |
| Objective Field: | Cardiovascular System and Diseases |
| Author: | Stafford, L (Dr Leanne Chalmers) |
| ID Code: | 58689 |
| Year Published: | 2009 |
| Web of Science® Times Cited: | 1 |
| Deposited By: | Pharmacy |
| Deposited On: | 2009-10-20 |
| Last Modified: | 2011-09-22 |
| Downloads: | 533 View Download Statistics |
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