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    'Some of my patients only come to renew their prescriptions. They are not interested in any additional advice or support'. Physicians' perceptions on their roles in cardiovascular diseases risk reduction and management in Fiji

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    Mohammadnezhad_et_al_PHCRC (358.6Kb)
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    Publication date
    2023-02
    Author
    Kumar, N.
    Mohammadnezhad, Masoud
    Narayan, R.
    Keyword
    Physicians
    Primary health care
    Perceptions
    Cardiovascular diseases
    Risk reduction
    Fiji
    Rights
    © The Author(s), 2023. Published by Cambridge University Press. This is an open access article distributed under the terms of the Creative Commons CC BY license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. You are not required to obtain permission to reuse this article.
    Peer-Reviewed
    Yes
    Open Access status
    openAccess
    
    Metadata
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    Abstract
    Primary health care (PHC) physicians' perceptions are vital to understand as they are the first-line health care providers in cardiovascular diseases (CVD) risk assessment and management. This study aims to explore PHC physicians' perceptions on their roles and their perceptions on management and risk reduction approaches on CVD risk reduction and management in Fiji. This is a qualitative study conducted in the Suva Medical area among 7 health centers from 1 August to 31 September, 2021. Purposive sampling was used to recruit physicians who worked in the Suva medical area as PHC physicians with at least 6 months' experience in the Special Outpatients Department clinics. In-depth interview were conducted using a semi-structured questionnaire over the telephone and recorded on a tablet device application. The interview content was then transcribed, and thematic analysis was done. This study included 25 PHC physicians. From the thematic analysis, 2 major themes emerged with 6 subthemes. Theme 1 was CVD management skills with 3 subthemes including education, experience and trainings, beliefs and attitudes of physicians, self-confidence and effectiveness in CVD risk reduction and management. Theme 2 was roles and expectations with 3 subthemes including perceptions of effective treatment, perceptions of physicians' roles and perceptions of patients' expectations. Physicians generally see their role as central and imperative. They perceive to be important and leading toward combating CVDs. Physicians' perceptions on their commitment to prevention and management of CVDs through their skills and knowledge, beliefs and motivation should be acknowledged. It is recommended that the physicians are updated on the current evidence-based medicine. Limitations include results that may not be the reflection of the entire physician and multidisciplinary community and the difficulties in face-to-face interviews due to the coronavirus diseases of 2019 pandemic.
    URI
    http://hdl.handle.net/10454/19360
    Version
    Published version
    Citation
    Kumar N, Mohammadnezhad M and Narayan R (2023) ''Some of my patients only come to renew their prescriptions. They are not interested in any additional advice or support". Physicians' perceptions on their roles in cardiovascular diseases risk reduction and management in Fiji. Primary Health Care Research and Development. 24(e11).
    Link to publisher’s version
    https://doi.org/10.1017/S1463423622000779
    Type
    Article
    Collections
    Health Studies Publications

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