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OBJECTIVE To determine and compare physicians' and patients' thresholds for how much reduction in risk of stroke is necessary and how much risk of excess bleeding is acceptable with antithrombotic treatment in people with atrial fibrillation. DESIGN Prospective observational study. SETTING Tertiary and peripheral referral centres in Nova Scotia, Canada.(More)
BACKGROUND Little is known about the impact of evidence-based medicine in primary care. Our objective was to explore the influence of evidence on day-to-day family practice, with specific reference to cardiovascular disease. METHODS A total of 9 focus groups were conducted in rural, semi-urban and urban settings in Nova Scotia. The participants were 50(More)
BACKGROUND Temporal trends in risk factors for cardiovascular disease and the impact of socio-economic status on these risk factors remain unclear. METHODS Using data from the National Population Health Survey and the Canadian Community Health Survey, we examined national trends in heart disease, hypertension, diabetes mellitus, obesity and smoking(More)
BACKGROUND Focus groups have become an important data gathering technique in primary care research. OBJECTIVES This study provides an integrated review of recent articles that used focus groups as a data collection method to gather information from family physicians. METHODS Medline was searched for articles that used focus groups with family physicians(More)
OBJECTIVE To describe the challenges the Canadian Primary Care Sentinel Surveillance Network (CPCSSN) experienced with institutional research ethics boards (IREBs) when seeking approvals across jurisdictions and to provide recommendations for overcoming challenges of ethical review for multisite and multijurisdictional surveillance and research. (More)
OBJECTIVE To determine what types of medication seniors in the community were using to manage osteoarthritis (OA). DESIGN Mailed self-administered survey. SETTING Three family medicine community practice sites in cities in Nova Scotia. PARTICIPANTS All seniors (aged 65 and older) on the electronic record of each practice site with a(More)
BACKGROUND The Canadian Cardiovascular Outcomes Research Team was established in 2001 to improve the quality of cardiovascular care for Canadians. Initially, quality indicators (QIs) for hospital-based care for those with acute myocardial infarctions and congestive heart failure were developed and measured. Qualitative research on the acceptability of those(More)
OBJECTIVE To determine the views of family physicians regarding selected asthma recommendations from a Canadian practice guideline and the supporting evidence, and to identify issues needing further development if family physicians are to find guideline recommendations to be truly useful clinical tools. SETTING Four urban communities in Nova Scotia,(More)
OBJECTIVE Atrial fibrillation (AF) substantially increases risk of stroke. Evidence suggests that anticoagulation to reduce risk is underused (a "care gap"). Our objectives were to clarify measures of this gap in care by including data from family physicians and to determine why eligible patients were not receiving anticoagulation therapy. DESIGN(More)