Creating a useful vascular center: A statewide survey of what primary care physicians really want

Tara Karamlou, Gregory Landry, Gary Sexton, Benjamin Chan, Gregory (Greg) Moneta, Lloyd Taylor, Kenneth McIntyre, Cornelius Olcott, George Andros

    Research output: Contribution to journalArticle

    10 Citations (Scopus)

    Abstract

    Objective: Multidisciplinary vascular centers (VCs) have been proposed to integrate vascular patient care. No studies, however, have assessed referring physician interest or which services should be provided. A statewide survey of primary care physicians (PCPs) was performed to answer these questions. Methods: Questionnaires were mailed to 3711 PCPs, asking about familiarity with vascular disease, potential VC usage, and services VCs should provide. Univariate and multivariate analysis was used to determine which PCPs would refer patients, the services desired, and which patients would be referred. Results: Of 1006 PCPs who responded, 66% would refer patients to a VC, especially patients younger than 50 years (P <.001) and those with lower extremity disease (P <.001) or abdominal aortic aneurysm (P <.001). PCPs practicing within 50 miles of a VC (P <.001), those in practice less than 5 years (P <.001), and those without specific training in vascular disease during residency (P = .004) were most likely to refer patients. Vascular surgery (97%), interventional radiology (90%), and a noninvasive vascular laboratory (82%) were considered the most important services, and physician educational services (62%) were also desirable. PCPs did not think cardiology, cardiac surgery, smoking cessation programs, or diabetes or lipid management are needed. Reasons for VC nonuse included travel distance (23%), sufficient local services (21%), and insurance issues (12%). Only 16% of PCPs believe that their patients with vascular disease currently receive optimal care. Conclusion: There is considerable interest in VCs among PCPs. In contrast to recently described models, VCs need not incorporate cardiology, cardiac surgery, smoking cessation programs, or diabetes or lipid management. VCs should include vascular surgery, interventional radiology, a noninvasive vascular laboratory, and physician educational services.

    Original languageEnglish (US)
    Pages (from-to)763-770
    Number of pages8
    JournalJournal of Vascular Surgery
    Volume39
    Issue number4
    DOIs
    StatePublished - Apr 2004

    Fingerprint

    Primary Care Physicians
    Blood Vessels
    Vascular Diseases
    Interventional Radiology
    Smoking Cessation
    Surveys and Questionnaires
    Cardiology
    Physicians
    Thoracic Surgery
    Lipids
    Abdominal Aortic Aneurysm
    Internship and Residency
    Insurance
    Lower Extremity
    Patient Care
    Multivariate Analysis

    ASJC Scopus subject areas

    • Cardiology and Cardiovascular Medicine
    • Surgery

    Cite this

    Creating a useful vascular center : A statewide survey of what primary care physicians really want. / Karamlou, Tara; Landry, Gregory; Sexton, Gary; Chan, Benjamin; Moneta, Gregory (Greg); Taylor, Lloyd; McIntyre, Kenneth; Olcott, Cornelius; Andros, George.

    In: Journal of Vascular Surgery, Vol. 39, No. 4, 04.2004, p. 763-770.

    Research output: Contribution to journalArticle

    Karamlou, Tara ; Landry, Gregory ; Sexton, Gary ; Chan, Benjamin ; Moneta, Gregory (Greg) ; Taylor, Lloyd ; McIntyre, Kenneth ; Olcott, Cornelius ; Andros, George. / Creating a useful vascular center : A statewide survey of what primary care physicians really want. In: Journal of Vascular Surgery. 2004 ; Vol. 39, No. 4. pp. 763-770.
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    abstract = "Objective: Multidisciplinary vascular centers (VCs) have been proposed to integrate vascular patient care. No studies, however, have assessed referring physician interest or which services should be provided. A statewide survey of primary care physicians (PCPs) was performed to answer these questions. Methods: Questionnaires were mailed to 3711 PCPs, asking about familiarity with vascular disease, potential VC usage, and services VCs should provide. Univariate and multivariate analysis was used to determine which PCPs would refer patients, the services desired, and which patients would be referred. Results: Of 1006 PCPs who responded, 66{\%} would refer patients to a VC, especially patients younger than 50 years (P <.001) and those with lower extremity disease (P <.001) or abdominal aortic aneurysm (P <.001). PCPs practicing within 50 miles of a VC (P <.001), those in practice less than 5 years (P <.001), and those without specific training in vascular disease during residency (P = .004) were most likely to refer patients. Vascular surgery (97{\%}), interventional radiology (90{\%}), and a noninvasive vascular laboratory (82{\%}) were considered the most important services, and physician educational services (62{\%}) were also desirable. PCPs did not think cardiology, cardiac surgery, smoking cessation programs, or diabetes or lipid management are needed. Reasons for VC nonuse included travel distance (23{\%}), sufficient local services (21{\%}), and insurance issues (12{\%}). Only 16{\%} of PCPs believe that their patients with vascular disease currently receive optimal care. Conclusion: There is considerable interest in VCs among PCPs. In contrast to recently described models, VCs need not incorporate cardiology, cardiac surgery, smoking cessation programs, or diabetes or lipid management. VCs should include vascular surgery, interventional radiology, a noninvasive vascular laboratory, and physician educational services.",
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    AU - McIntyre, Kenneth

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