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.