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The study on knowledge - attitude - practice of primarycare physician toward anticoagulant therapy in patients with Non-valvular atrial fibrillation in Shanghai of China
Open accessPreprint — published as 10.1186/s12875-020-01236-4 · Paper page
Abstract
Background: As the large number of Community Health Service (CHS) centers in China face the majority of non-valvular atrial fibrillation (NVAF) patients, primary care physicians (PCPs) play the primary role in the prevention of embolization. Therefore，an awareness of anticoagulant management in NVAF patients must be brought into focus among PCPs in China. This study will investigate PCPs’ Knowledge, Attitude and Practice toward anticoagulant therapy in patients with NVAF and help PCPs increase their awareness of oral anticoagulant (OAC) therapy for NVAF to prevent embolization. Method: This was a cross-sectional observational study of 462 PCPs in CHS centers across Shanghai. We used a self-administered questionnaire to collect data from September to December 2017. A stratified random cluster sampling was adopted in the 90 CHS centers with the family medicine residency program. Result: Among 462 participants, 69.3% (320/462) of females got a medical bachelor’s degree and over 50% participants had more than 10 years of work experience. According to similar study, each section for knowledge, attitude, and practice were categorized as poor (≤39.0%), fair (40.0%–69.0%), and good (≥70.0%) [18] . The level of knowledge of OAC therapy in patients with NVAF among PCPs was insufficient in over half (75.8%) of participants. The majority (89.8%) of PCPs had a positive attitude and 68.0% had modest performance in the anticoagulant management of patients with NVAF. Conclusion: The knowledge and behaviors of PCPs were insufficient in OAC therapy to prevent embolization in patients with NVAF. The study also revealed there is good potential for PCPs’ educational interventions to positively impact on the care of patients with NVAF.
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Metadata
- Authors
- Ye, S., Wang, T., Liu, A., Yu, Y., Pan, Z., & Gu, J.
- Affiliations
- Zhongshan Hospital Fudan University
- Fudan University (CN)
- Fudan University
- Corresponding author
- Pan, Zhigang
- Venue
- BMC Family Practice
- Published
- 2020-08-06
- Volume
- 21
- Issue
- 1
- Pages
- 165-165
- ISSN
- 1471-2296 (ISSN-L)
- PMC
- PMC7429456
- OpenAlex
- W3049147668
- Cited by
- 26
- References
- 10
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 4 · 2023: 7 · 2022: 8 · 2021: 3
- FWCI
- 2.78
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Family Practice (publishedVersion, cc-by)
- Research Square (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Shanghai Municipal Health Commission
- Fudan University
- Shanghai Municipal Health and Family Planning Commission
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Health Sciences › Medicine › Clinical Neurology › Acute Ischemic Stroke Management
- Health Sciences › Medicine › Internal Medicine › Venous Thromboembolism Diagnosis and Management
- Keywords
- non-valvular atrial fibrillation, anticoagulation, oral anticoagulants, primary care physicians, knowledge, attitudes and practices, stroke prevention, community health service centers, family medicine residency, physician training
- MeSH terms
- Anticoagulants, Atrial Fibrillation, China, Cross-Sectional Studies, Female, Humans, Health Knowledge, Attitudes, Practice, Practice Patterns, Physicians', Stroke, Physicians, Primary Care
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