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:
    1Guidelines or recommendationsTreatment in accordance with established guidelines and recommendations
    2PreventionStresses preventive rather than only curative practices
    3MonitoringRegular measurement and biomonitoring, computerized med records
    4Motivation of doctorPersistence and commitment
    5Motivation of patientFollow recommendations; be active participant in care; attend appointments and follow-up
    6Doctor knowledgeExpertise and training
    7Patient diet/lifestylePatient knowledge of importance of diet/lifestyle changes
    8Patient health coverageAccess to paid drugs and care
    9Group careDoctor works with other doctors; nurse involvement
Doctor–patient relationship
    Sub code
        10TrustPatient trusts doctor, doctor trusts patient, bilateral respect, shared responsibility
        20CommunicationNonverbal, verbal, listening
        30UnderstandingPatient understands doctor and doctor understands patient
        40EducationDoctor gets patient to understand suggestions, treatment, and biology of diagnosis and disease
        50SocialDoctor is aware of patients' family, financial, work, life goals, and cultural context
        60TimeLength of time in relationship between doctor and patient, time spent with patient
Health care in my country is generally good or not good because:
    1GoodOverall good or satisfactory
    2PoorUnsatisfactory or poor
    3Good and badBoth positive and negative aspects
    4Good—health care equityEquality of access and care; everyone treated equally
    5Good—comprehensive careFull financial coverage and support
    6Good—qualityQuality patient care of service and facilities
    7Good—preventionEmphasis on preventative care practices
    8Good—freedomDoctors are free to prescribe; they are not influenced by any lobby
    9Bad—patient irresponsibilityThe system encourages patient to excessive drug consumption; system abuses, assisted patients
    10Bad—doctor new type of remunerationDoctors see more patients during the day to increase their revenues: less time per patient, less quality
    11Bad—no recognition of family doctorBad organization of primary care
    12Bad—wastingWastes time that could be spent caring for patients
    13Bad—health care reformStates uses financial approach to deal with health care spending, privatization of health care
    14Bad—bureaucracyBureaucracy and administration hinders care
    15Bad—insufficient healthcare equityInequality of access and care; everyone treated equally
    16Bad—increase of out of pocket expensesPatient pays more and more for health care
    17Bad—lack of qualityLack of quality patient care of service and facilities
    18Bad—lobbyingBig pharmaceutical companies, politics, and universities
    19Bad—lack of timeLimits time of visit and education time
    20Poor preventionNot enough emphasis on preventive care practices
    21Bad—remunerationDoctors are not paid enough
    22Bad—underinvestment by stateState does not invest enough in healthcare
    23Bad—lack of professionalsDecrease of medical demography, bad geographical distribution of care providers
    24Bad—expensiveHealth care is too expensive
Cardiovascular death rates are 20% to 25% lower in France, Japan, and Israel versus the United States because of:
    1HealthcareBetter access to quality health care
    2PreventionPreventive measures to reduce CVD risks
    3Food/dietBetter quality or more nutritious food and diet/smaller portions
    4ObesityFewer obesity issues in France/more in United States
    5WineRegular consumption of wine
    6ExerciseRegular exercise/less stationary
    7LifestyleStress and intensity of living
    8GeneticsCultural and/or genetic factors
    9EducationGreater patient education or awareness
    10EquityFairness of the health system, more equitable coverage, or both
    11DisparitiesDisparities in care by ethnicity and socioeconomic divisions
  • CVD, cardiovascular disease.