A cross-sectional survey, preceded by multiple focus group discussions, was performed among Dutch physicians responsible for prevention of infections in asplenic patients, including specialists (of Internal medicine and Surgery) and general practitioners (GPs).
Physician service utilization data for CVD/CBVD (as compared with those without CVD/CBVD), patient access to physician offices for prevention of CVD/CBVD (i.e. determined through physician billing data at the provincial level), and hospitalization data for patients with CVD/CBVD versus those without it are deficient.
Only 14 physicians identified promoting factors for prevention, yet they did not extensively describe these factors.
Their contracts reward the primary-care physicians for leading and coordinating prevention and management of chronic conditions as well as care, resulting in more health (as opposed to just care).
When a physician speaks to the need for prevention, it's very powerful.
If renal function is suboptimal and an FDG PET/CT examination with intravenous CT contrast agent is necessary, then the referring physician can initiate the protocol for prevention of nephrotoxicity (hydrate the patient and repeat the blood test, and if necessary prescribe medication for prevention of nephrotoxicity).
First, the vaccine was permissively recommended (vaccination at the discretion of the physician) for adolescent males in 2009 for prevention of genital warts.
The majority of statin prescribing was by the patients' primary care physician for the primary prevention of vascular disease and as such was not governed by any specific protocol and both patient and clinician perception are likely to have influence the use of statins.
Although L.D.L. remains the primary target for prevention, the current nationally accepted guidelines recommend that physicians measure the complete lipid profile and treat unhealthy levels of H.D.L. as well.
It is imperative to sensitise prospective physicians to tobacco prevention.
"Policy makers and physicians can use these findings to substantiate arguments that delaying vaccination may result in missed opportunities for prevention," the study authors concluded.
