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Competence of General Practitioners in Giving Advice about Changes in Lifestyle to Hypertensive Patients

Author

Listed:
  • Adam Windak

    (Department of Internal Medicine and Gerontology, Jagiellonian University Medical College, Krakow, Poland, mmwindak@cyf-kr.edu.pl)

  • Barbara Gryglewska

    (Department of Internal Medicine and Gerontology, Jagiellonian University Medical College, Krakow, Poland)

  • Tomasz Tomasik

    (Department of Internal Medicine and Gerontology, Jagiellonian University Medical College, Krakow, Poland)

  • Krzysztof Narkiewicz

    (Department of Hypertension and Diabetology, Medical University of Gdansk, Gdansk, Poland)

  • Tomasz Grodzicki

    (Department of Internal Medicine and Gerontology, Jagiellonian University Medical College, Krakow, Poland)

Abstract

Objective . The aim of this study was to assess the advice about lifestyle changes that general practitioners (GPs) gave hypertensive patients with different levels of cardiovascular risk. Design and Methods . A stratified sample of primary health care physicians in Poland completed a questionnaire consisting of 8 case vignettes that differed with regard to 3 major variables: 1) the level of blood pressure (high-normal blood pressure or grade 2 hypertension), 2) the presence of selected risk factors such as smoking and obesity, and 3) diabetes mellitus. The case vignettes were followed by a series of open questions. Results . The response rate was 65% (125/192 selected physicians responded). The mean age was 45.2 ± 8.1 years, and the average length of professional experience in primary care was 14.7 ± 9.3 years. For 1000 potential clinical decisions considered, all expected pieces of advice were given in 18.3% of situations, whereas in 11.5%, no advice concerning nonpharmacological treatment was provided. In 70.2% of situations, Polish primary health physicians gave incomplete advice. The average percentage of expected advice in all cases was 57.2% ± 30.8%. The presence of hypertension along with other risk factors of cardiovascular disease was associated with better quality advice ( P

Suggested Citation

  • Adam Windak & Barbara Gryglewska & Tomasz Tomasik & Krzysztof Narkiewicz & Tomasz Grodzicki, 2009. "Competence of General Practitioners in Giving Advice about Changes in Lifestyle to Hypertensive Patients," Medical Decision Making, , vol. 29(2), pages 217-223, March.
    • Handle: RePEc:sae:medema:v:29:y:2009:i:2:p:217-223
    DOI: 10.1177/0272989X08324956
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