scholarly journals Knowledge, attitude, and practice regarding atrial fibrillation among primary care physicians: the potential role of postgraduate training

2021 ◽  
Vol 16 (1) ◽  
pp. 39-49
Author(s):  
Phaik Choo Ooi ◽  
Gogilavendan Ramayah ◽  
Syahril Rizwan Omar ◽  
Vilasini Rajadorai ◽  
Thatsheila Nadarajah ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Primary Care ◽  
Family Medicine ◽  
Primary Care Physicians ◽  
Vocational Training ◽  
Knowledge Test ◽  
Anticoagulation Treatment ◽  
Attitude And Practice ◽  
Validated Questionnaire ◽  
Knowledge Attitude And Practice

Introduction: Atrial fibrillation (AF) is known to lead to stroke and thromboembolism, causing a five-fold increase in the risk of stroke and almost doubling the mortality rate. Optimal anticoagulant therapy is effective in reducing AF-related death. However, prescription of anticoagulants in AF in East Asian countries has been low, ranging from 0.5% to 28%. This study aimed to determine whether vocational training in family medicine improves primary care physicians’ knowledge, attitude, and practice in the management of AF. Method: This investigation was a cross-sectional study carried out during centralized workshops for two groups of trainees using a validated questionnaire: (i) junior trainees were newly enrolled postgraduate trainees in the Graduate Certificate in Family Medicine (GCFM) program, and (ii) senior trainees were postgraduate trainees in Advance Training in Family Medicine (ATFM) programs of the Academy of Family Physicians of Malaysia (AFPM). Results: A total of 223 trainees (127 junior and 96 senior) participated in this study. Only 55.2% of the trainees passed the knowledge test; senior trainees were more likely to pass the knowledge test compared to junior trainees (69.8% vs. 44.1%, p <0.001). Female trainees were significantly more likely to pass the knowledge test than male trainees. While the attitude of senior and junior trainees was similar, more of the latter group worked in public clinic that provide better support where there is better support for outpatient anticoagulation treatment (e.g., same-day INR test, direct access echocardiogram, and warfarin in in-house pharmacy). Conclusion: Vocational training in family medicine appears to improve primary care physicians’ knowledge regarding the management of AF. Better knowledge will help vocationally trained primary care physicians to provide anticoagulation treatment for AF within primary care clinics. More optimal AF management within primary care can take place if the identified barriers are addressed and a shared care plan can be implemented.

scholarly journals The study on knowledge-attitude-practice of primary care physician toward anticoagulant therapy in patients with Non-valvular atrial fibrillation in Shanghai of China

2020 ◽  
Author(s):  
Shasha Ye ◽  
Tianhao Wang ◽  
Arthur Liu ◽  
Ying Yu ◽  
Zhigang Pan ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Primary Care ◽  
Anticoagulant Therapy ◽  
Work Experience ◽  
Primary Care Physicians ◽  
Educational Interventions ◽  
Cluster Sampling ◽  
Primary Role ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Abstract Background: As the large number of Community Health Service (CHS) centers in China face the majority of non-valvular atrial fibrillation (NVAF) patients, primary care physicians (PCPs) play the primary role in the prevention of embolization. Therefore，an awareness of anticoagulant management in NVAF patients must be brought into focus among PCPs in China. This study will investigate PCPs’ Knowledge, Attitude and Practice toward anticoagulant therapy in patients with NVAF and help PCPs increase their awareness of oral anticoagulant (OAC) therapy for NVAF to prevent embolization.Method: This was a cross-sectional observational study of 462 PCPs in CHS centers across Shanghai. We used a self-administered questionnaire to collect data from September to December 2017. A stratified random cluster sampling was adopted in the 90 CHS centers with the family medicine residency program. Result: Among 462 participants, 69.3% (320/462) of females got a medical bachelor’s degree and over 50% participants had more than 10 years of work experience. According to similar study, each section for knowledge, attitude, and practice were categorized as poor (≤39.0%), fair (40.0%–69.0%), and good (≥70.0%)[18]. The level of knowledge of OAC therapy in patients with NVAF among PCPs was insufficient in over half (75.8%) of participants. The majority (89.8%) of PCPs had a positive attitude and 68.0% had modest performance in the anticoagulant management of patients with NVAF. Conclusion: The knowledge and behaviors of PCPs were insufficient in OAC therapy to prevent embolization in patients with NVAF. The study also revealed there is good potential for PCPs’ educational interventions to positively impact on the care of patients with NVAF.

scholarly journals Knowledge, attitude and practice of bariatric surgery among primary care physicians in Riyadh, 2020

2022 ◽  
Vol 26 (119) ◽  
pp. 1
Author(s):  
Arwa Abdulsalam Alkhuraiji ◽  
Rema Saad Almohanna ◽  
Mohammed Hamad Aldebasi ◽  
Nouf Abdulaziz Altwaijri ◽  
Imad Abdulmajeed ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Primary Care ◽  
Primary Care Physicians ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

scholarly journals Knowledge, attitude and practice of Lebanese primary care physicians in nutrition counseling: a self-reported survey

2017 ◽  
Vol 18 (06) ◽  
pp. 629-634 ◽  
Author(s):  
Rasha A. Hseiki ◽  
Mona H. Osman ◽  
Rana T. El-Jarrah ◽  
Ghassan N. Hamadeh ◽  
Najla A. Lakkis
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Patient Adherence ◽  
Nutrition Counseling ◽  
Nutritional Knowledge ◽  
Nutritional Counseling ◽  
Convenience Sample ◽  
Adherence To Diet ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

AimThis study aims to assess the knowledge, attitude and practice of primary care physicians (PCPs) in Lebanon regarding nutrition counseling and to investigate possible related barriers.BackgroundNutrition counseling is an important aspect of patient care, especially with the increase in nutrition-related disorders.MethodsThis is a descriptive study among a convenience sample of PCPs in Lebanon at two annual conferences in 2014 using an anonymous questionnaire.FindingsResponse rate was 54.6%. Overall, physicians considered that they have good to very good nutritional knowledge. Although they rated their formal nutritional education poorly, they had a positive attitude towards nutritional counseling and reported practicing general nutritional counseling with their patients. Barriers to nutritional counseling were: time, perceived poor patient adherence to diet, gap in physician’s nutritional knowledge and lack of insurance coverage for dietitian fees. Changes should be made to medical education curricula to include nutrition courses related to prevalent health problems.

scholarly journals Knowledge, attitude, and practice of primary care physicians about developmental dysplasia of the hip in a tertiary referral hospital in Riyadh, Saudi Arabia

2021 ◽  
Vol 0 ◽  
pp. 1-7
Author(s):  
Tariq N. Alotaibi ◽  
Ayman H. Jawadi ◽  
Abdullah A. Alghamdi ◽  
Sarah A. Aldeghaither ◽  
Ali A. Alhandi
Keyword(s):  
Primary Care ◽  
Saudi Arabia ◽  
Primary Care Physicians ◽  
Current Knowledge ◽  
Developmental Dysplasia ◽  
Tertiary Referral Hospital ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Dysplasia Of The Hip ◽  
Knowledge Attitude And Practice

Objectives: The aim of the study was to determine the current knowledge, attitude, and practice of developmental dysplasia of the hip (DDH) management among primary care physicians (PCP) in Saudi Arabia. Methods: A cross-sectional study on PCP from a single health-care system in Riyadh, Saudi Arabia, was conducted using a survey questionnaire to evaluate the medical knowledge, attitude, and current practice in the clinics, including diagnosis and screening skills. Results: Sixty-five PCPs participated in the survey, 32 (49.2%) were general practitioners and 33 (50.8%) were fellows and consultants. Only six physicians (9.2%) had formal training on DDH management. Twenty respondents (30.8%) had poor knowledge, while 45 (69.2%) had sufficient knowledge of DDH. Most of the respondents believed in the importance of asking about risk factors, the presence of DDH screening protocols and community awareness, and 89.2% of the respondents believed they need to go for further training about DDH. Fifty-nine respondents (90.8%) would refer a DDH case to an orthopedic surgeon when there are positive findings by a radiograph or ultrasound. Forty-two (64.6%) never examined the hip for DDH, and 30 (46.2%) never referred a DDH case. Conclusion: Knowledge of DDH among our PCP directly involved in the screening and management of DDH is sufficient. However, there is a discordance between knowledge to attitude and practice.

scholarly journals The study on knowledge - attitude - practice of primarycare physician toward anticoagulant therapy in patients with Non-valvular atrial fibrillation in Shanghai of China

2020 ◽  
Author(s):  
Shasha Ye ◽  
Tianhao Wang ◽  
Arthur Liu ◽  
Ying Yu ◽  
Zhigang Pan ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Anticoagulant Therapy ◽  
Work Experience ◽  
Primary Care Physicians ◽  
Educational Interventions ◽  
Cluster Sampling ◽  
Primary Role ◽  
Cross Sectional ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Abstract Background: As the large number of Community Health Service (CHS) centers in China face the majority of non-valvular atrial fibrillation (NVAF) patients, primary care physicians (PCPs) play the primary role in the prevention of embolization. Therefore，an awareness of anticoagulant management in NVAF patients must be brought into focus among PCPs in China. This study will investigate PCPs’ Knowledge, Attitude and Practice toward anticoagulant therapy in patients with NVAF and help PCPs increase their awareness of oral anticoagulant (OAC) therapy for NVAF to prevent embolization. Method: This was a cross-sectional observational study of 462 PCPs in CHS centers across Shanghai. We used a self-administered questionnaire to collect data from September to December 2017. A stratified random cluster sampling was adopted in the 90 CHS centers with the family medicine residency program. Result: Among 462 participants, 69.3% (320/462) of females got a medical bachelor’s degree and over 50% participants had more than 10 years of work experience. According to similar study, each section for knowledge, attitude, and practice were categorized as poor (≤39.0%), fair (40.0%–69.0%), and good (≥70.0%) [18] . The level of knowledge of OAC therapy in patients with NVAF among PCPs was insufficient in over half (75.8%) of participants. The majority (89.8%) of PCPs had a positive attitude and 68.0% had modest performance in the anticoagulant management of patients with NVAF. Conclusion: The knowledge and behaviors of PCPs were insufficient in OAC therapy to prevent embolization in patients with NVAF. The study also revealed there is good potential for PCPs’ educational interventions to positively impact on the care of patients with NVAF.

scholarly journals Knowledge, Attitude and Practice on Smoking Cessation Guideline among Medical Doctors attending Family Medicine Scientific Conference 2016

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Mohd Shaiful Ehsan Bin Shalihin ◽  
Mohd Aznan Md Aris ◽  
Mohamad Haniki Nik Mohamed ◽  
Razman Bin Mohd Rus ◽  
Nurjasmine Aida Bt Jamani
Keyword(s):  
Primary Care ◽  
Smoking Cessation ◽  
Family Medicine ◽  
Training Program ◽  
Scientific Conference ◽  
Medical Doctors ◽  
Attitude And Practice ◽  
Stop Smoking ◽  
Primary Care Doctors ◽  
Knowledge Attitude And Practice

Introduction:  Prevalence of active smokers in Malaysia remains high despite the availability of stop-smoking services. Rather than focussing on patients’ demotivating factors, possible poor performance from providers should be evaluated. Thus, knowledge, attitude and practice of the healthcare professional on smoking cessation intervention needs to be assessed, especially among primary care doctors.  Materials and Methods:  A cross-sectional study was conducted among primary care medical doctors attending the 19th Family Medicine Scientific Conference 2016 held at the Grand Dorsett, Subang on the 10th to the 13th August 2016. Validated questionnaire of Knowledge, Attitude and Practice (KAP) of Medical Doctors on Smoking Cessation Guidelines consisting 17 questions were used to determine the KAP score. The difference between the median KAP scores between age, gender, ethnicity, religion, profession, location of clinic, availability of specialist in clinic, numbers of smokers seen and presence of smoking cessation training were assessed using Mann-Whitney U Test and Kruskal Wallis H Test. Results:  A total of 145 primary care doctors involved in the study. Majority were female (84.1%), Malay (73.1%) and haven’t undergone any kind of smoking cessation training (47.6%). The KAP score were statistically associated with presence of specialist, type of profession, history of attending training program, ethnicity and religion (p<0.05). Conclusion: Majority of the involved primary care doctors had low KAP score. Being a family medicine specialist, in charge of stop smoking clinic and having attended smoking cessation training program were significantly associated with high KAP score. Therefore, more smoking cessation training should be provided to the primary care doctors.

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