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Statin initiation by GPs in WA - A structured vignette study


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 2009 Australian Family Physician. Reproduced with permission. Permission to reproduce must be sought from the publisher, The Royal Australian College of General Practitioners.

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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: 1.2417.87) and GPs with fewer years in practice (4.50; 1.2116.77) were more likely to prescribe appropriately. Younger patients (2.21; 1.383.53), and those with diabetes (1.74; 1.092.76) or hypercholesterolaemia (4.81; 2.888.03) 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:Biomedical and Clinical Sciences
Research Group:Pharmacology and pharmaceutical sciences
Research Field:Clinical pharmacology and therapeutics
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS 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:579 View Download Statistics

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