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Research article
Zhigang Pan
Zhongshan Hospital Fudan University
Corresponding Author
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background:
As a large number of Community Health Service (CHS) centers in China face the majority of patients with non-valvular atrial fibrillation (NVAF), primary care physicians (PCPs) play a primary role in the prevention of embolization. Therefore, an awareness of anticoagulant management in patients with NVAF must be brought into focus among PCPs in China. This study investigated PCPs’ knowledge, attitudes, and practices toward anticoagulant therapy in patients with NVAF, to help them understand their shortcomings regarding oral anticoagulant (OAC) therapy in preventing embolization.
Method:
This was a cross-sectional observational study of 462 PCPs in CHS centers across Shanghai. We used a self-administered questionnaire to collect data from September to December 2017. A stratified random cluster sampling was adopted in the 90 CHS centers with the family medicine residency program.
Result:
Among 462 participants, 69.3% (320/462) of females received a medical bachelor’s degree and over 50% of participants had more than 10 years of work experience. Each section for knowledge, attitude, and practice were categorized as poor (≤39.0%), fair (40.0%–69.0%), and good (≥70.0%). The level of knowledge of OAC therapy for patients with NVAF among PCPs was insufficient in over half (75.8%) of the participants. The majority (89.8%) of PCPs had a positive attitude and 68.0% had modest performance in the anticoagulant management of patients with NVAF.
Conclusions:
The knowledge and behaviors of PCPs were insufficient for OAC therapy to prevent embolization in patients with NVAF. The study also revealed that there is good potential for PCPs’ educational interventions to positively impact the care of patients with NVAF.
Keywords
Non-valvular atrial fibrillation, anticoagulant therapy, primary care physician, knowledge-attitudes-practices
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CURRENT STATUS: Published
View the published article at BMC Primary Care.
No community comments so far
Submission checks complete
On 30 Jul, 2020
Editorial decision: Accept
On 29 Jul, 2020
Version 3
Posted 07 Jul, 2020
No comments provided
Editorial decision: Minor revision
On 16 Jul, 2020
Editor assigned
On 06 Jul, 2020
Submission checks complete
On 05 Jul, 2020
Editor invited
On 05 Jul, 2020
No comments provided
Editorial decision: Major revision
On 28 May, 2020
Review #2 received
Received 24 May, 2020
Review #1 received
Received 22 May, 2020
Reviewer #2 agreed
On 05 May, 2020
Reviewers invited
Invitations sent on 01 May, 2020
Reviewer #1 agreed
On 01 May, 2020
Editor assigned
On 30 Apr, 2020
Editor invited
On 29 Apr, 2020
Submission checks complete
On 05 Jan, 2020
No comments provided
Editorial decision: Major revision
On 30 Mar, 2020
Review #2 received
Received 26 Mar, 2020
Reviewer #2 agreed
On 14 Mar, 2020
Review #1 received
Received 14 Feb, 2020
Reviewer #1 agreed
On 01 Feb, 2020
Reviewers invited
Invitations sent on 29 Jan, 2020
Editor assigned
On 28 Jan, 2020
Submission checks complete
On 06 Jan, 2020
Editor invited
On 06 Jan, 2020
First submitted
On 19 Dec, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
General Practice
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at BMC Primary Care.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Zhigang Pan
Zhongshan Hospital Fudan University
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Primary Care.
No community comments so far
Submission checks complete
On 30 Jul, 2020
Editorial decision: Accept
On 29 Jul, 2020
Version 3
Posted 07 Jul, 2020
No comments provided
Editorial decision: Minor revision
On 16 Jul, 2020
Editor assigned
On 06 Jul, 2020
Submission checks complete
On 05 Jul, 2020
Editor invited
On 05 Jul, 2020
No comments provided
Editorial decision: Major revision
On 28 May, 2020
Review #2 received
Received 24 May, 2020
Review #1 received
Received 22 May, 2020
Reviewer #2 agreed
On 05 May, 2020
Reviewers invited
Invitations sent on 01 May, 2020
Reviewer #1 agreed
On 01 May, 2020
Editor assigned
On 30 Apr, 2020
Editor invited
On 29 Apr, 2020
Submission checks complete
On 05 Jan, 2020
No comments provided
Editorial decision: Major revision
On 30 Mar, 2020
Review #2 received
Received 26 Mar, 2020
Reviewer #2 agreed
On 14 Mar, 2020
Review #1 received
Received 14 Feb, 2020
Reviewer #1 agreed
On 01 Feb, 2020
Reviewers invited
Invitations sent on 29 Jan, 2020
Editor assigned
On 28 Jan, 2020
Submission checks complete
On 06 Jan, 2020
Editor invited
On 06 Jan, 2020
First submitted
On 19 Dec, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
General Practice
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Primary Care.
Background:
As a large number of Community Health Service (CHS) centers in China face the majority of patients with non-valvular atrial fibrillation (NVAF), primary care physicians (PCPs) play a primary role in the prevention of embolization. Therefore, an awareness of anticoagulant management in patients with NVAF must be brought into focus among PCPs in China. This study investigated PCPs’ knowledge, attitudes, and practices toward anticoagulant therapy in patients with NVAF, to help them understand their shortcomings regarding oral anticoagulant (OAC) therapy in preventing embolization.
Method:
This was a cross-sectional observational study of 462 PCPs in CHS centers across Shanghai. We used a self-administered questionnaire to collect data from September to December 2017. A stratified random cluster sampling was adopted in the 90 CHS centers with the family medicine residency program.
Result:
Among 462 participants, 69.3% (320/462) of females received a medical bachelor’s degree and over 50% of participants had more than 10 years of work experience. Each section for knowledge, attitude, and practice were categorized as poor (≤39.0%), fair (40.0%–69.0%), and good (≥70.0%). The level of knowledge of OAC therapy for patients with NVAF among PCPs was insufficient in over half (75.8%) of the participants. The majority (89.8%) of PCPs had a positive attitude and 68.0% had modest performance in the anticoagulant management of patients with NVAF.
Conclusions:
The knowledge and behaviors of PCPs were insufficient for OAC therapy to prevent embolization in patients with NVAF. The study also revealed that there is good potential for PCPs’ educational interventions to positively impact the care of patients with NVAF.
Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
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