A qualitative study investigating the attitudes of primary health care professionals and patients towards the use of a ‘polypill’ to prevent cardiovascular disease

[摘要] Background A ‘polypill’ containing blood pressure and cholesterol lowering drugs given to all people over a specific age could prevent up to 80% of cardiovascular events (primary prevention). It could also be given to those with cardiovascular disease who are already taking separate drugs (secondary prevention). Minimal monitoring would be required. Little is known about attitudes of primary health care professionals and patients to such a strategy: hence the aim of this study. Methods Semi-structured interviews were conducted with 16 primary health care professionals and 17 patients across Birmingham. The principles of grounded theory were used to guide sampling and analysis. Results Health care professionals and patients expressed low acceptance of the polypill for primary prevention because of concerns about medicalisation, adverse effects, evidence, titration, impact on health related behaviours and confidence in preventive health. There was greater acceptance regarding its use for secondary prevention due to its practicality. Minimal monitoring received much scepticism as it was believed side-effects, efficacy and compliance would go undetected and because most medications are monitored. Conclusions Implementing a polypill for primary prevention would require health care professionals and patients to be convinced of the potential benefits. However, regular monitoring may need to continue.

[发布机构] University:University of Birmingham;Department:School of Health and Population Sciences

[关键词] R Medicine;RA Public aspects of medicine