eCite Digital Repository

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]


Preview
PDF
882Kb
  

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: 1.2417.87) 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: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:543 View Download Statistics

Repository Staff Only: item control page