Article Figures & Data
Figures
- Figure 1.
Key subthemes in the doctor–patient relationship.
- Figure 2.
Best practices comprising a “culture of care” for French cardiovascular risk factor management. EMR = electronic medical records.
Tables
- Table 1. Codebook for French Primary Care Physician Beliefs about Cardiovascular Disease Risk Factors and Best Practices for Managing Cardiovascular Disease
I believe I am successful managing patients with CVD risk factors because: 1 Guidelines or recommendations Treatment in accordance with established guidelines and recommendations 2 Prevention Stresses preventive rather than only curative practices 3 Monitoring Regular measurement and biomonitoring, computerized med records 4 Motivation of doctor Persistence and commitment 5 Motivation of patient Follow recommendations; be active participant in care; attend appointments and follow-up 6 Doctor knowledge Expertise and training 7 Patient diet/lifestyle Patient knowledge of importance of diet/lifestyle changes 8 Patient health coverage Access to paid drugs and care 9 Group care Doctor works with other doctors; nurse involvement Doctor–patient relationship Sub code 10 Trust Patient trusts doctor, doctor trusts patient, bilateral respect, shared responsibility 20 Communication Nonverbal, verbal, listening 30 Understanding Patient understands doctor and doctor understands patient 40 Education Doctor gets patient to understand suggestions, treatment, and biology of diagnosis and disease 50 Social Doctor is aware of patients' family, financial, work, life goals, and cultural context 60 Time Length of time in relationship between doctor and patient, time spent with patient Health care in my country is generally good or not good because: 1 Good Overall good or satisfactory 2 Poor Unsatisfactory or poor 3 Good and bad Both positive and negative aspects 4 Good—health care equity Equality of access and care; everyone treated equally 5 Good—comprehensive care Full financial coverage and support 6 Good—quality Quality patient care of service and facilities 7 Good—prevention Emphasis on preventative care practices 8 Good—freedom Doctors are free to prescribe; they are not influenced by any lobby 9 Bad—patient irresponsibility The system encourages patient to excessive drug consumption; system abuses, assisted patients 10 Bad—doctor new type of remuneration Doctors see more patients during the day to increase their revenues: less time per patient, less quality 11 Bad—no recognition of family doctor Bad organization of primary care 12 Bad—wasting Wastes time that could be spent caring for patients 13 Bad—health care reform States uses financial approach to deal with health care spending, privatization of health care 14 Bad—bureaucracy Bureaucracy and administration hinders care 15 Bad—insufficient healthcare equity Inequality of access and care; everyone treated equally 16 Bad—increase of out of pocket expenses Patient pays more and more for health care 17 Bad—lack of quality Lack of quality patient care of service and facilities 18 Bad—lobbying Big pharmaceutical companies, politics, and universities 19 Bad—lack of time Limits time of visit and education time 20 Poor prevention Not enough emphasis on preventive care practices 21 Bad—remuneration Doctors are not paid enough 22 Bad—underinvestment by state State does not invest enough in healthcare 23 Bad—lack of professionals Decrease of medical demography, bad geographical distribution of care providers 24 Bad—expensive Health care is too expensive Cardiovascular death rates are 20% to 25% lower in France, Japan, and Israel versus the United States because of: 1 Healthcare Better access to quality health care 2 Prevention Preventive measures to reduce CVD risks 3 Food/diet Better quality or more nutritious food and diet/smaller portions 4 Obesity Fewer obesity issues in France/more in United States 5 Wine Regular consumption of wine 6 Exercise Regular exercise/less stationary 7 Lifestyle Stress and intensity of living 8 Genetics Cultural and/or genetic factors 9 Education Greater patient education or awareness 10 Equity Fairness of the health system, more equitable coverage, or both 11 Disparities Disparities in care by ethnicity and socioeconomic divisions CVD, cardiovascular disease.
- Table 2. Physicians' Beliefs about Why Cardiovascular Disease Death Rates Are Higher in the United States
Code Responses, n (%) 1 Food/diet 348 (53) 2 Equity 144 (22) 3 Exercise 128 (19) 4 Lifestyle 77 (12) 5 Obesity 76 (12) 6 Quality of care 71 (11) 7 Genetics 21 (3) 8 Prevention 19 (3) 9 Wine 11 (2) 10 Education 6 (1) 11 Disparities 6 (1) Numbers refer to the frequency of responses that include a theme. Some respondents mentioned multiple themes so the response percentages will be greater than 100%.
- Table 3. Physicians Beliefs about Why They Are Successful at Managing Cardiovascular Disease Risk Factors
Code Responses, n (%) 1 Doctor–patient relationship 331 (51) 2 Doctor knowledge 106 (16) 3 Motivation of the doctor 90 (14) 4 Guidelines or recommendations 89 (14) 5 Patient health coverage 66 (10) 6 Motivation of patient 58 (9) 7 Prevention 41 (6) 8 Monitoring 21 (3) 9 Lifestyle 21 (3) 10 Group care 9 (1) Numbers refer to the frequency of responses that include a theme. Some respondents mentioned multiple themes so the response percentages will be greater than 100%.
