Original Article
Measuring Provider Compliance with Ischemic Heart Disease Guidelines
Abstract
Objectives: The purpose of this study was to assess the relationships among provider beliefs, attitudes, and intention to use Veterans Health Administration guidelines for ischemic heart disease (IHD).
Methods: A self-administered written questionnaire was mailed to providers at six Veterans Administration hospitals in a Veterans Integrated Service Network. The questionnaire measured the providers’ general impression of the IHD guidelines, factors that influence use of cardiac medications, and barriers to using the guidelines.
Results: A total of 170 of 491 eligible providers returned the questionnaire (35% response rate). The top reasons cited for following the guidelines were to decrease mortality, prevent future myocardial infarction, decrease the risk of recurrent events, and provide positive cardiac effects. The authors found that, overall, providers have a positive impression of the IHD guidelines because they provide a standard of care and result in higher quality of care.
Conclusions: The authors’ results indicate that providers support the guidelines, but encounter barriers in accessing them.
Key Points
* The majority of providers surveyed felt that the Veterans Administration’s ischemic heart disease guidelines provide a standard of care, and result in high-quality care.
* The providers indicated that having simple retrieval methods to access guidelines, and that the guidelines be easy to use would most influence their use of the ischemic heart disease guidelines.
* Lack of time to access the guidelines, and patient use of the Internet were found to be the major barriers to using the guidelines.
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