Shared decision making (SDM) between GPs and patients is ideal model for chronic disease. This study will test the feasibility of implementing SDM CVD Risk managment model in general practice.
Qing Wan, Sanjyot Vagholkar, Mark Harris, Nick Zwar
Cardiovascular disease (CVD) dominate the health profile. Critical to implementation of CVD risk management is the identification of those most at risk through use of absolute risk assessment in general practice so that they can be targeted with cost-effective interventions. Shared decision making (SDM) between GPs and patients is ideal model for chronic disease.
Previously, we have conducted a qualitative study - key informant interviews, focus groups with GPs and patients to investigate their views about CV absolute risk assessment and management. From this, we have identified a number of barriers and facilitators to CV absolute risk assessment and management in general practice. Combining our findings and literature, we have developed a shared risk management model for use in general practice. At present, we are piloting this model to look at its feasibility. This will form the basis of a larger randomized controlled trail study that will comprehensively evaluate the effectiveness of this model at multiple levels - divisions, practices and patients.
Wan Q, Harris MF, Zwar NA, Vagholkar S. Sharing risk management: an implementation model for cardiovascular absolute risk assessment and management in Australian general practice. International Journal of Clinical Practice. June 2008, 62(6): 905 - 911.
Qing Wan Email: email@example.com
Bankstown, Macarthur and South Eastern Sydney Divisions of General Practice
PHReNet Small Research Grant UNSW Faculty Grant