Patients' views about taking a polypill to manage cardiovascular risk: a qualitative study in primary care.
Virdee, Satnam K
Greenfield, Sheila M
McManus, Richard J
British Journal of General Practice
Royal College of General Practitioners
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Virdee, S. K., Greenfield, S. M., Fletcher, K., McManus, R. J., & Mant, J. W. (2015). Patients' views about taking a polypill to manage cardiovascular risk: a qualitative study in primary care.. British Journal of General Practice, 65 e447-e453. https://doi.org/10.3399/bjgp15X685657
Background A ‘polypill’ containing a combination of antihypertensives and statins could prevent up to 80% of cardiovascular disease events. Aim Patient attitudes towards the use of a polypill for cardiovascular disease prevention remain largely unknown. The aim of this study was to investigate such patient opinions. Design and Setting Qualitative study of seventeen patients from seven primary care practices in Birmingham, UK Methods Patients were recruited through purposive sampling to maximise variation of characteristics. Semi-structured interviews were conducted with respondents. Results were analysed and reported using a qualitative description approach. Results Patients expressed concerns that polypill prescription for primary prevention simply on the basis of age was unnecessary and would lead to side effects, despite recognising potential benefits. For high risk patients, or for secondary prevention, a polypill was deemed more acceptable, but was felt to still require regular monitoring of blood pressure and cholesterol. Conclusion Patients were sceptical of the role of a polypill as a “blanket” approach. If a population strategy offering a polypill to all people over a certain age was to be implemented, it would need to be supported by patient education.
Cardiovascular Diseases, Humans, Primary Health Care, Risk Factors
This article presents independent research funded by the National Institute for Health research (NIHR) under the Programme Grants for Applied Research Programme RP-PG-0606-1153. The views expressed in this publication are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health.
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External DOI: https://doi.org/10.3399/bjgp15X685657
This record's URL: http://www.repository.cam.ac.uk/handle/1810/247408