Attitudes towards drug-eluting stent use and the distribution of motivation type among interventional cardiologists

Attitudes towards drug-eluting stent use and the distribution of motivation type among interventional cardiologists
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DOI:
10.1111/j.1365-2753.2010.01615.x
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发表时间:
2012-06-01
影响因子:
2.4
通讯作者:
Veazie, Peter J.
Veazie, Peter J.
中科院分区:
医学4区
文献类型:
--
作者:
Qian, Feng;Phelps, Charles E.;Veazie, Peter J.

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目的药物洗脱支架(DES)的安全性在2006年受到质疑。然而,在DES的安全性考虑之后,人们对DES的使用表示出了态度,介入心脏科医生中慢性动机类型的分布也是未知的。本研究旨在调查介入心脏科医生目前对DES使用的态度,并调查这些医生中慢性动机类型的分布情况。方法于2008年10月至2009年4月在纽约州对介入心脏科医生进行问卷调查。问卷包括面子效度量表、调节焦点效度量表和人口统计信息量表。结果共收到有效问卷119份,应答率为47%。在人口统计因素方面,受访者和非受访者之间没有显著差异。绝大多数介入心脏病学家(92%)同意DES是一项革命性的技术,DES的使用将在未来增加(70%)。受访者的慢性动机类型对积极的结果非常敏感(89%)。结论介入心脏科医生对DES技术持非常积极的态度,并预测未来DES使用的增长。绝大多数介入心脏科医生被发现关心取得积极结果,并希望防止遗漏错误。据我们所知,这是第一个报告医生慢性动机类型分布的研究。
Objectives The safety of drug-eluting stent (DES) use was called into question in 2006. However, the attitudes towards DES use after DES safety concerns were expressed and the distribution of chronic motivation type among interventional cardiologists are unknown. This study aims to examine the current attitudes towards DES use among interventional cardiologists and to investigate the distribution of chronic motivation type among these doctors. Methods A questionnaire survey of interventional cardiologists was conducted in New York State from October 2008 to April 2009. The questionnaire included face valid items to measure the attitudes towards DES use, valid Regulatory Focus Questionnaire to measure the chronic motivation type, and items collecting demographic information. Results A total of 119 valid responses were received (response rate: 47%). There were no statistically significant differences regarding the demographic factors between the respondents and the non-respondents. The vast majority of interventional cardiologists (92%) agreed that DES is a revolutionary technology and that DES use will increase in the future (70%). The chronic motivation type of the respondents was predominantly sensitive to positive outcomes (89%). Conclusions Interventional cardiologists had a very positive attitude regarding DES technology and predicted future growth of DES use. The vast majority of interventional cardiologists were found to be concerned about achieving positive outcomes and wanted to prevent errors of omission. To the best of our knowledge, this is the first study to report the distribution of chronic motivation type among doctors.