Key result
Inpatient attending role linked to ~34% higher self-reported beta-blocker prescribing in heart failure.
Why the study?
Beta-blockers reduce mortality in systolic heart failure, yet primary care provider prescription rates remain low, motivating examination of physician factors influencing prescribing.
Population
69 primary care providers at three New York City Veterans Affairs medical centers
Comparison
Physicians serving as inpatient ward attendings and with high confidence vs those not serving and with lower confidence
Design
Cross-sectional survey with retrospective chart review
Authors
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Teaching attendings report higher self-reported beta-blocker use in HF; hypothesis-generating for education effects but needs objective data before practice implications.
Cross-Sectional (n=69)
Yes
Absolute Event Rate: 78% vs 58%
p-value: p=0.002
Physician teaching responsibilities and confidence levels are associated with higher self-reported beta-blocker prescribing for heart failure patients, suggesting that educational efforts may improve guideline adherence in primary care.
Sinha et al. (2009) conducted a cross-sectional in Systolic heart failure (n=69). Inpatient ward attending responsibilities vs. No inpatient ward attending responsibilities was evaluated on Self-reported prescribing of beta-blockers among heart failure patients (p=0.002). Physicians who served as inpatient ward attendings self-reported significantly higher rates of beta-blocker prescribing among their heart failure patients compared with physicians who did not (78% vs. 58%).
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