Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/9956
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Fitzgerald, Stephen P. | en |
dc.contributor.author | Phillipov, George | en |
dc.date.issued | 2000 | en |
dc.identifier.citation | Medical Journal of Australia, 2000; 172 (1):9-12 | en |
dc.identifier.issn | 0025-729X | en |
dc.identifier.uri | http://hdl.handle.net/2440/9956 | - |
dc.description | Copyright © 2000 Australasian Medical Publishing | en |
dc.description.abstract | Objective: To survey attitudes about three "best practice" medical interventions (hormone replacement therapy [HRT], thrombolysis for acute myocardial infarction [THROM] and coronary artery by-pass surgery [CABS]) in a sample of patients, and identify factors associated with those attitudes. Settings: Metropolitan tertiary care hospital outpatient clinics (survey 1, April 1997), two general practice surgeries (survey 2, May 1997), and one general practice surgery (survey 3, October 1997). Design: Patients completed a questionnaire while waiting for their clinical consultation. Attitude scores were measured on an 11-category Likert scale ranging from - 5 (definitely would not) to + 5 (definitely would) for acceptance of proposed medication or surgery. Participants: 85 (participation rate, 85%), 77 (94%) and 95 (97%) in surveys 1, 2 and 3, respectively. Surveys 1 and 2 constituted the primary study group (n = 162). Patients aged 50 years or reporting heart disease were excluded from the HRT analyses; patients aged 65 years were excluded from the THROM and CABS analyses. Results: The median attitude scores for HRT (n = 58), THROM and CABS (n = 111) were - 2.95 (95% CI, - 5 to - 2.1), - 0.5 (95% CI, - 0.9 to 0) and - 0.1 (95% CI, - 0.5 to + 1.3), respectively. Decreasing the risk-benefit ratio fourfold for HRT in survey 3 (n = 68) increased the median score to - 0.75 (95% CI, - 2.3 to 0). Conclusions: Patients do not view favourably the risk-benefit ratio of the three surveyed medical interventions. These attitudes may present a major impediment to most primary prevention programs. | en |
dc.description.statementofresponsibility | Stephen P Fitzgerald and George Phillipov | en |
dc.language.iso | en | en |
dc.publisher | Australasian Medical Publishing | en |
dc.source.uri | http://www.mja.com.au/public/issues/172_01_030100/fitzgerald/fitzgerald.html | en |
dc.title | Patient attitudes to commonly promoted medical interventions | en |
dc.type | Journal article | en |
dc.contributor.school | School of Medicine : Medicine | en |
Appears in Collections: | Medicine publications |
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.