Physician and patient predictors of evidence-based prescribing in heart failure: a multilevel study.

ABSTRACT:

Background

The management of patients with heart failure (HF) needs to account for changeable and complex individual clinical characteristics. The use of renin angiotensin system inhibitors (RAAS-I) to target doses is recommended by guidelines. But physicians seemingly do not sufficiently follow this recommendation, while little is known about the physician and patient predictors of adherence.

Methods

To examine the coherence of primary care (PC) physicians' knowledge and self-perceived competencies regarding RAAS-I with their respective prescribing behavior being related to patient-associated barriers. Cross-sectional follow-up study after a randomized medical educational intervention trial with a seven month observation period. PC physicians (n = 37) and patients with syst

SUBMITTER: Peters-Klimm F 

PROVIDER: S-EPMC3283612 | biostudies-literature | 2012

REPOSITORIES: biostudies-literature