Key result
The number of perceived barriers reported by general practitioners was not significantly correlated with their actual prescribing rates of ACE inhibitors for chronic heart failure (ρ = 0.02).
Why the study?
Are perceived barriers by general practitioners related to underuse and underdosing of ACE inhibitors in chronic heart failure patients?
Population
General practitioners (GPs) and a random sample of their chronic heart failure (CHF) patients
Design
Cross-sectional
Authors
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Perceived barriers do not explain GP ACE inhibitor prescribing variation in HF; challenges targeting them to improve use and leaves other drivers open.
Cross-Sectional (n=43)
Yes
Are perceived barriers by general practitioners related to underuse and underdosing of ACE inhibitors in chronic heart failure patients?
Effect estimate: ρ = 0.02
Variation in GP prescribing of ACE inhibitors for heart failure is not explained by self-reported perceived barriers, suggesting targeted interventions based on these barriers may be inefficient.
Kasje et al. (2005) conducted a cross-sectional in Chronic heart failure (n=43). Perceived barriers to prescribing ACE inhibitors vs. Fewer or no perceived barriers was evaluated on Correlation between total number of perceived barriers and percentage of patients receiving an ACE inhibitor (ρ = 0.02). The number of perceived barriers reported by general practitioners was not significantly correlated with their actual prescribing rates of ACE inhibitors for chronic heart failure (ρ = 0.02).
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