University of Georgia, Center for Global Health, College of Public Health, Athens, GA 30602-7394, USA.
J Clin Hypertens (Greenwich). 2011 Jan;13(1):10-8. doi: 10.1111/j.1751-7176.2010.00370.x. Epub 2010 Aug 30.
Cardiovascular risk factor management by French vs US primary care physicians was studied. A survey was conducted that found that French physicians spend >20 minutes while US physicians spend five to 10 minutes (P<.001) addressing cardiovascular risk with patients. Fifty-three percent of French (vs 33% of US) physicians focus more on lifestyle modification and less on medication management (P<.0001). Sixty-nine percent of French physicians spend 0% to 20% of their time on administration while 65% of US physicians spend 10% to 30% (P=.0028). Fifty-one percent of French physicians see patients in one to three months for follow-up, while 51% of US physicians see patients in three to six months (P<.0001). Eighty-seven percent of French (vs 39% of US) physicians have guidelines available in the examination room either frequently or very frequently. US physicians report disparities in care more frequently than do French physicians (P<.0001). Forty-nine percent of French (vs 10% of US) physicians believe that they have relative freedom to practice medicine (P<.001). US physicians report greater administrative efforts, frustration, and disparities in their practice. French physicians focus more of their efforts on lifestyle management and see their patients more frequently and for a longer visit time.
研究了法国和美国初级保健医生对心血管风险因素的管理。进行了一项调查，发现法国医生与患者讨论心血管风险的时间超过 20 分钟，而美国医生则花费 5 到 10 分钟（P<.001）。53%的法国医生（而 33%的美国医生）更注重生活方式的改变，而较少关注药物管理（P<.0001）。69%的法国医生将 0%至 20%的时间用于管理，而 65%的美国医生则花费 10%至 30%（P=.0028）。51%的法国医生在一到三个月内为患者进行随访，而 51%的美国医生在三到六个月内为患者进行随访（P<.0001）。87%的法国医生（而 39%的美国医生）在检查室中经常或非常频繁地有指南可用。美国医生比法国医生更频繁地报告护理差距（P<.0001）。49%的法国医生（而 10%的美国医生）认为他们有相对的行医自由（P<.001）。美国医生报告说，他们的管理工作、挫折感和实践中的差距更大。法国医生更注重生活方式管理，更频繁地为患者就诊，并且就诊时间更长。
