241649 "Key Differences in American and French CVD Risk Factor Management: Implications for promoting healthy U.S. communities"

Monday, October 31, 2011: 2:30 PM

Colleen O'Brien, PhD , Center for Global Health, University of Georgia, Athens, GA
Anjali Mathew, MPH , Center for Global Health, University of Georgia, Athens, GA
Cardiovascular disease (CVD) death rates are significantly lower in France than in the United States, prompting researchers to question whether French and American physicians manage CVD risk factors differently. The purpose of this research is to identify key differences in beliefs about CVD and risk factor management between American and French physicians. Data were drawn from a web-based survey given to American and French primary care physicians. Reported here are the responses to free-text questions regarding physicians' beliefs about CVD death rates, quality of healthcare, and their individual success at managing CVD. Responses were thematically coded, analyzed and tabulated for frequencies and predominant beliefs. The codes were generated using word repetitions and key-words-in-context methods in order to identify themes. The results demonstrate interesting differences between U.S. and French physicians. The doctor-patient relationship is seen as more important to French than US physicians. French physicians report focusing on patient-centered behaviors such as discussing lifestyle modifications, patient education, while taking a more social approach to patient care. French physicians state that time spent with patients is critical to successful prevention and treatment. Also, French physicians are generally satisfied with healthcare in France while the majority of American physicians are not satisfied with healthcare in the United States. Similarities are that both French and American doctors cite lifestyles and diet as being key to lowering CVD risk factors. Some of the best practices identified in this survey could help in policy development to improve the management of cardiovascular risk factors in the US.

Learning Areas:
Chronic disease management and prevention
Diversity and culture
Implementation of health education strategies, interventions and programs
Public health or related organizational policy, standards, or other guidelines
Social and behavioral sciences

Learning Objectives:
(1) Identify key differences in beliefs about CVD risk factor management and health care systems in general among American and French primary care physicians (2) Evaluate best practices in CVD risk factor management in France (3) Discuss aspects of French physician practice behavior that can be adopted and adapted for use in the U.S. health care system

Keywords: Chronic (CVD), Health Care Delivery

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because as an employee of the Center for Global Health and a MPH student, I oversee a global health certificate program and assist with research and writing.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.