365 What do primary care physicians know about congestive heart failure diagnosis and treatment in the district of Poznan, Poland?

2004 ◽  
Vol 3 (1) ◽  
pp. 93-94
Author(s):  
M WIERZCHOWIECKI
Keyword(s):  
Heart Failure ◽  
Primary Care ◽  
Congestive Heart Failure ◽  
Primary Care Physicians ◽  
Failure Diagnosis ◽  
Diagnosis And Treatment ◽  
Heart Failure Diagnosis

scholarly journals NT-proBNP for heart failure diagnosis in Primary Care: Costs or savings? A budget impact study

2021 ◽  
Author(s):  
Cândida Fonseca ◽  
Paulo Bettencourt ◽  
Dulce Brito ◽  
Helena Febra ◽  
Álvaro Pereira ◽  
...  
Keyword(s):  
Heart Failure ◽  
Primary Care ◽  
Budget Impact ◽  
Failure Diagnosis ◽  
Impact Study ◽  
Heart Failure Diagnosis ◽  
Care Costs

Association of depression and anxiety with adherence in primary care patients with heart failure—cross-sectional results of the observational RECODE-HF cohort study

2020 ◽  
Vol 37 (5) ◽  
pp. 695-702 ◽  
Author(s):  
Marion Eisele ◽  
Malte Harder ◽  
Anja Rakebrandt ◽  
Sigrid Boczor ◽  
Gabriella Marx ◽  
...  
Keyword(s):  
Heart Failure ◽  
Primary Care ◽  
Cohort Study ◽  
Psychological Distress ◽  
Medication Adherence ◽  
Failure Diagnosis ◽  
Cross Sectional ◽  
Factors Associated ◽  
Patients With Heart Failure ◽  
Heart Failure Diagnosis

Abstract Background Psychological distress has a negative impact on the prognosis and quality of life for patients with heart failure. We investigated the association between psychological distress and the patients’ adherence to medical treatment (medication adherence) and self-care advice (lifestyle adherence) in heart failure. We further examined whether there are different factors associated with low medication compared to low lifestyle adherence. Method This secondary analysis of the RECODE-HF cohort study analyzed baseline data of 3099 primary care heart failure patients aged 74 ± 10 years, 44.5 % female. Using multivariable regression, factors relating to medication and lifestyle adherence were investigated in order to estimate the extent to which these factors confound the association between psychological distress and adherence. Results Psychological distress was significantly associated with poorer medication adherence but not with lifestyle adherence after controlling for confounders. We identified different factors associated with medication compared to lifestyle adherence. A higher body mass index, a less developed social network, living alone, fewer chronic co-morbidities and unawareness of the heart failure diagnosis were only related to lower lifestyle adherence. Higher education was associated with poorer medication adherence. Male sex, younger age, lower self-efficacy and less familiar relation with the general practitioner were common factors associated with both lower medication and lifestyle adherence. Conclusion Promising factors for increasing medication adherence (reduction of psychological distress) and lifestyle adherence (explaining the patient his/her heart failure diagnosis more than once and increase in the patients’ self-efficacy), which were found in this cross-sectional study, must be further investigated in longitudinal studies.

Variability of physician perspectives toward advance care planning for patients with incurable cancer and congestive heart failure.

2015 ◽  
Vol 33 (29_suppl) ◽  
pp. 12-12
Author(s):  
Manisha Chandar ◽  
Bruce Brockstein ◽  
Alan Zunamon ◽  
Irwin Silverman ◽  
Sarah Dlouhy ◽  
...  
Keyword(s):  
Heart Failure ◽  
Primary Care ◽  
Congestive Heart Failure ◽  
Cancer Patients ◽  
Advance Care Planning ◽  
Primary Care Physicians ◽  
Online Survey ◽  
Care Planning ◽  
Incurable Cancer ◽  
Advance Care

12 Background: Advance Care Planning (ACP) discussions afford patients and physicians a chance to better understand patients’ values and wishes regarding end-of-life care; however these conversations typically take place late in the course of a disease, or not at all. The goal of this study was to understand attitudes of oncologists, cardiologists, and primary care physicians (PCPs) towards ACP. We also aimed to identify persistent barriers to timely ACP discussion following a quality improvement initiative at our health system aimed at improving ACP completion rate. Methods: A 23-question cross-sectional online survey was created and distributed to cardiologists, oncologists, primary care physicians and cardiology and oncology support staff at the NorthShore University Health System (NorthShore) from February-March 2015. A total of 117 individuals (46% of distributed) completed the surveys. The results were compiled using an online survey analysis tool. Results: Only 15% of cardiologists felt it was their responsibility to conduct ACP with their congestive heart failure (CHF) patients. In contrast, 68% of oncologists accepted responsibility for ACP in incurable cancer patients. Sixty-eight percent of PCPs felt personally responsible for conducting ACP discussions with CHF patients, while only 34% felt the same about cancer patients. Documentation of ACP in the electronic health record (EHR) was inconsistent among specialties. Among all surveyed specialties, lack of time was the major barrier limiting ACP discussion. Perceived patient discomfort and discomfort of the patient’s family towards these discussions were also significant reported barriers. Conclusions: Attitudes toward ACP implementation vary considerably by medical specialty and medical condition, with oncologists in this study feeling more personal responsibility for carrying out these discussions with cancer patients than cardiologists with their heart failure patients. Robust implementation of ACP across the spectrum of medical illnesses is likely to require a true collaboration between office-based PCPs and specialists in both the inpatient and ambulatory settings.

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