Article Sidebar

PDF
Date Published: 21/04/2022
Abstract Views: 254
Views PDF: 152
DOI: https://doi.org/10.51298/vmj.v511i2.2101
Issue
Vol. 511 No. 2 (2022)
Section
Các bài báo
How to Cite
Thị Thu Thủy, N. ., Thị Ngọc, H. ., Thế Anh, N. ., Vân Anh, L. ., Thị Thúy Vân, P. ., & Thị Xuân Phương, Đồng . (2022). BARRIERS IN GUIDELINE-ADHERENCE FOR ACUTE CORONARY SYNDROME IN INPATIENTS IN HUU NGHI HOSPITAL. Vietnam Medical Journal, 511(2). https://doi.org/10.51298/vmj.v511i2.2101

BARRIERS IN GUIDELINE-ADHERENCE FOR ACUTE CORONARY SYNDROME IN INPATIENTS IN HUU NGHI HOSPITAL

Nguyễn Thị Thu Thủy1, Hồ Thị Ngọc1, Nguyễn Thế Anh2, Lê Vân Anh2, Phạm Thị Thúy Vân1, Đồng Thị Xuân Phương1,
1 Hanoi University of Pharmacy
2 Friendship Hospital

Main Article Content

Abstract

Objectives: Toexplore barriers in the guideline-adherence for ACS patients. Subjects and methods: A qualitative study with depth interview using semi-structured questionaires was conducted ina group of physicians who participated in treatment of ACS patients in Huu Nghi Hospital. Results: Totally 11 physicians participated in the study (54,5% with over 10 years of experience, 63,6% were male). Weidentified two groupsof barriers: internal barriers related to physicians (knowledge, clinical experience, prescribing habit, lack of agreement with guidelines); external barriers (guideline, hospital systems, cost, patients). These factors were associated with incompliance with guideline ofantiplatelet agents, anticoagulants, beta-blockers, and statins. Conclusion: This study identified several importantbarriers in adherence-guideline for management of ACS inpatients in Huu Nghi Hospital. These are important bases for practical solutions to improve the quality of drug use in Huu nghi hospital.

Article Details

Keywords

Acute coronary syndrome, barrier, qualitative study, guideline adherence

References

1. Bộ Y Tế, Hướng dẫn chẩn đoán và xử trí hội chứng mạch vành cấp, tế Bộ Y, Editor. 2019, Bộ Y Tế.
2. Hồ Thị Ngọc, Phân tích thực trạng kê đơn thuốc trong quản lý nội trú bệnh nhân hội chứng mạch vành cấp tại bệnh viện Hữu Nghị. 2021.
3. Amsterdam E. A., Wenger N. K., et al. (2014), "2014 AHA/ACC guideline for the management of patients with non-ST-elevation acute coronary syndromes: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines", Circulation, 130(25), pp. e344-426.
4. Cabana M. D., Rand C. S., et al. (1999), "Why don't physicians follow clinical practice guidelines? A framework for improvement", Jama, 282(15), pp. 1458-65.
5. Freier Christian, Heintze Christoph, et al. (2020), "Prescribing and medical non-adherence after myocardial infarction: qualitative interviews with general practitioners in Germany", BMC family practice, 21(1), pp. 81-81.
6. Hertz Julian T., Kweka Godfrey L., et al. (2020), "Provider-perceived barriers to diagnosis and treatment of acute coronary syndrome in Tanzania: a qualitative study", International health, 12(2), pp. 148-154.
7. Ibanez B., James S., et al. (2018), "2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC)", Eur Heart J, 39(2), pp. 119-177.
8. Wang Haidong, Naghavi Mohsen, et al. (2016), "Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980–2015: a systematic analysis for the Global Burden of Disease Study 2015", The Lancet, 388(10053), pp. 1459-1544.