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    Health care providers' perspectives on patient delay for seeking care for symptoms of acute myocardial infarction

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    Authors
    Zapka, Jane G.
    Estabrook, Barbara
    Gilliland, Janice
    Leviton, Laura
    Meischke, Hendrika
    Melville, Sharon
    Taylor, Judy
    Daya, Mohamud
    Laing, Brian
    Meshack, Angela
    Reyna, Roy
    Robbins, Mark
    Hand, Mary M.
    Finnegan, John R. Jr.
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    UMass Chan Affiliations
    Department of Medicine, Division of Preventive and Behavioral Medicine
    Meyers Primary Care Institute
    Document Type
    Journal Article
    Publication Date
    1999-10-26
    Keywords
    Aged
    *Attitude of Health Personnel
    Cardiology
    Emergency Service, Hospital
    Female
    Focus Groups
    *Health Education
    *Health Knowledge, Attitudes, Practice
    Humans
    Male
    Middle Aged
    Myocardial Infarction
    Nursing
    *Physician's Practice Patterns
    Primary Health Care
    Time Factors
    United States
    Health Services Research
    Primary Care
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    Link to Full Text
    http://dx.doi.org/10.1177/109019819902600511
    Abstract
    To inform intervention development in a multisite randomized community trial, the Rapid Early Action for Coronary Treatment (REACT) project formative research was undertaken for the purpose of investigating the knowledge, beliefs, perceptions, and usual practice of health care professionals. A total of 24 key informant interviews of cardiologists and emergency physicians and 15 focus groups (91 participants) were conducted in five major geographic regions: Northeast, Northwest, Southeast, Southwest, and Midwest. Transcript analyses revealed that clinicians are somewhat unaware of the empirical evidence related to the problem of patient delay, are concerned about the practice constraints they face, and would benefit from concrete suggestions about how to improve patient education and encourage fast action. Findings provide guidance for selection of educational strategies and messages for health providers as well as patients and the public.
    Source
    Health Educ Behav. 1999 Oct;26(5):714-33.
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/36868
    PubMed ID
    10533175
    Related Resources
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