Implementation of Spanish adaptation of the European guidelines on cardiovascular disease prevention in primary care
1 Research Unit, Sardenya Primary Health Care Center-Biomedical Research Institute Sant Pau (IIB-Sant Pau), Barcelona, Spain
2 Jazmín Primary Health Care Center, Health Regional Service (East Area), Madrid, Spain
3 National School of Public Health, Institute of Health Carlos III, Madrid, Spain
4 Manises Health Care Center, Valencia, Spain
5 Cogolludo Health Care Center, SESCAM, Guadalajara, Spain
6 Periodistas Primary Health Care Center, Health Regional Service (North Area), Madrid, Spain
7 Pintores Primary Health Care Center, Health Regional Service (South Area), Madrid, Spain
8 Chopera Primary Care Center, Health Regional Service (North Area), Madrid, Spain
9 Department of Medicine, Unidad Docente del IMAS, Hospital del Mar, Barcelona, Spain
10 Dirección General de Salud Pública, Calidad e Innovación, Ministerio de Sanidad, Servicios Sociales e Igualdad, Madrid, Spain
11 Angiología y Cirugía Vascular, Hospital Universitario de la Princesa, Madrid, Spain
12 Servicio de Endocrinología y Nutrición, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
13 Department of Cardiology, Hospital Universitario de San Juan, San Juan de Alicante, Alicante, Spain
14 Salud Laboral de la Policía Local de Valencia, Valencia, Spain
15 Sociedad Española de Medicina y Seguridad del Trabajo, Sociedad Castellana de Medicina y Seguridad del Trabajo, Madrid, Spain
16 Servicio de Medicina Interna, ICMID. Hospital Clinic-IDIBAPS, Barcelona, Spain
17 Institut Hospital del Mar d’Investigacions Mèdiques (IMIM), Barcelona, Spain
18 Institut d’Estudis de la Salut, Barcelona, Spain
19 Unidad de Rehabilitación Cardiaca, Servicio Cardiología, Hospital Ramón y Cajal, Madrid, Spain
20 Unidad de Ictus, Servicio de Neurología, Hospital General Universitario Gregorio Marañón, Madrid, Spain
21 Servicio de Nefrología, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, Madrid, Spain
22 Unit of Hypertension and Vascular risk, Department of Internal Medicine, Hospital General de L’Hospitalet, University of Barcelona, Barcelona, Spain
23 Health Care Center Canillejas, Madrid, Spain
24 Escuela Nacional de Sanidad, Instituto de Salud Carlos III, Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina Universidad Autónoma de Madrid, CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
25 Universidad Rey Juan Carlos, Madrid, Spain
BMC Family Practice 2013, 14:36 doi:10.1186/1471-2296-14-36Published: 18 March 2013
The successful implementation of cardiovascular disease (CVD) prevention guidelines relies heavily on primary care physicians (PCPs) providing risk factor evaluation, intervention and patient education. The aim of this study was to ascertain the degree of awareness and implementation of the Spanish adaptation of the European guidelines on CVD prevention in clinical practice (CEIPC guidelines) among PCPs.
A cross-sectional survey of PCPs was conducted in Spain between January and June 2011. A random sample of 1,390 PCPs was obtained and stratified by region. Data were collected by means of a self-administered questionnaire.
More than half (58%) the physicians were aware of and knew the recommendations, and 62% of those claimed to use them in clinical practice, with general physicians (without any specialist accreditation) being less likely to so than family doctors. Most PCPs (60%) did not assess cardiovascular risk, with the limited time available in the surgery being cited as the greatest barrier by 81%. The main reason to be sceptical about recommendations, reported by 71% of physicians, was that there are too many guidelines. Almost half the doctors cited the lack of training and skills as the greatest barrier to the implementation of lifestyle and behavioural change recommendations.
Most PCPs were aware of the Spanish adaptation of the European guidelines on CVD prevention (CEIPC guidelines) and knew their content. However, only one third of PCPs used the guidelines in clinical practice and less than half CVD risk assessment tools.