Health care providers' perspectives on patient delay for seeking care for symptoms of acute myocardial infarction
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.
UMass Chan Affiliations
Department of Medicine, Division of Preventive and Behavioral MedicineMeyers Primary Care Institute
Document Type
Journal ArticlePublication Date
1999-10-26Keywords
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
Metadata
Show full item recordAbstract
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/20.500.14038/36868PubMed ID
10533175Related Resources
Link to Article in PubMedCollections
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