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Clinicians' self-reported efficacy in cardiovascular prevention practice in the southeastern United States.
Caldarera, Trevor; Ponir, Cynthia; Seals, Austin; Penmetsa, Megha; Ip, Edward; German, Charles A; Virani, Salim S; Saha, Animita; Bosworth, Hayden B; Moore, Justin B; Shapiro, Michael D; Pokharel, Yashashwi.
Affiliation
  • Caldarera T; Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, NC 27101, USA.
  • Ponir C; Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, NC 27101, USA.
  • Seals A; Section of Cardiovascular Medicine, Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA 27101.
  • Penmetsa M; Division of Cardiovascular Disease, Department of Medicine, Carilion Clinic, Roanoke, VA 24014, USA.
  • Ip E; Department of Biostatistics & Data Science, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC 27101, USA.
  • German CA; Section of Cardiology, Department of Medicine, University of Chicago, Chicago, IL 60637, USA.
  • Virani SS; Department of Medicine, The Aga Khan University, Karachi, 74800, Pakistan.
  • Saha A; Department of Internal Medicine, Division of Cardiology, Baylor College of Medicine, Houston, TX 77030, USA.
  • Bosworth HB; Department of Internal Medicine, Atrium Health, Charlotte, NC 28207, USA.
  • Moore JB; Department of Population Health Science, Duke University School of Medicine, Durham, NC 27710, USA.
  • Shapiro MD; Department of Implementation Science, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC 27101, USA.
  • Pokharel Y; Department of Epidemiology & Prevention, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC 27101, USA.
Future Cardiol ; 19(12): 593-604, 2023 09.
Article in En | MEDLINE | ID: mdl-37916575
ABSTRACT

Aim:

We assessed self-reported efficacy in cardiovascular prevention practice among internal medicine, family medicine, endocrinology and cardiology clinicians. Patients &

methods:

We emailed a 21-item questionnaire to 956 physicians, nurse practitioners, physician assistants and pharmacists.

Results:

264 clinicians responded (median age 39 years, 55% women, 47.9% specialists). Most expressed high self-efficacy in lifestyle counselling, prescribing statins, metformin, and aspirin in primary prevention, but low self-efficacy in managing specialized conditions like elevated lipoprotein(a). Compared with specialists, PCPs expressed lower self-efficacy in managing advanced lipid disorders and higher self-efficacy in prescribing sodium-glucose cotransporter-2 inhibitors and glucagon-like peptide-1 receptor agonists.

Conclusion:

Self-efficacy in cardiovascular prevention varied across specialties. Future research should explore relevant provider, clinic and system level factors to optimize cardiovascular prevention.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Cardiovascular Diseases / Sodium-Glucose Transporter 2 Inhibitors Limits: Adult / Female / Humans / Male Country/Region as subject: America do norte Language: En Journal: Future Cardiol Journal subject: CARDIOLOGIA Year: 2023 Document type: Article Affiliation country: United States
Fulltext
Add to My VHL
Print
XML
PubMed Links
Search on Google

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Cardiovascular Diseases / Sodium-Glucose Transporter 2 Inhibitors Limits: Adult / Female / Humans / Male Country/Region as subject: America do norte Language: En Journal: Future Cardiol Journal subject: CARDIOLOGIA Year: 2023 Document type: Article Affiliation country: United States