Key result
Collaborative cardiologist-GP care is associated with ~95% medication compliance after myocardial infarction.
Why the study?
The management of patients after myocardial infarction involves complex therapeutic measures and the collaboration between cardiologists and general practitioners may influence outcomes.
Cross-Sectional (n=522)
No
May support collaborative post-MI care models; hypothesis-generating and should not yet change practice.
The therapeutic strategy for a discharged patient who suffered a miocardial infarction implies a complexity of therapeutic measures and recommendations that guide the mid- and long-time outcome. A main factor of this process is represented by the thrust the patient has in the physician, physician being the person who prescribes and adjusts the treatment, and decides upon the investigations that need to be done. This is a dinamic process, the status of a patient who suffered a miocardial infarction being able to vary at any time during this evolution, especially in associated pathologies. The patient may be evaluated by multiple doctors, the therapeutic strategy being established by a cardiologist, general practitioner, or a team composed of cardiologist and general practitioner. However, the one who knows this best is the patient. This study is exclusively addressed to the patients (structured as a qestionnaire), future discussion being based on their answers. In this context, following the guideline recommandations concerning monitorization, recovery and the quality of life of the patient suffering from miocardial infarction, best result are obtained when the therapeutic strategy is established by a team formed from cardiologist and general practitioner.
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Scafa‐Udriște et al. (2015) conducted a cross-sectional in ST-segment elevation myocardial infarction (STEMI) (n=522). Collaborative management by cardiologist and general practitioner vs. Management by cardiologist alone, general practitioner alone, or self-medication was evaluated on Self-reported daily medication compliance. Collaborative management by a cardiologist and a general practitioner in post-myocardial infarction patients was associated with the highest self-reported medication compliance (95.4%).
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