Attitudes toward Management of Sickle Cell Disease and Its Complications: A National Survey of Academic Family Physicians

Objective. Sickle cell disease (SCD) is a disease that requires a significant degree of medical intervention, and family physicians are one potential provider of care for patients who do not have access to specialists. The extent to which family physicians are comfortable with the treatment of and c...

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Main Authors: Arch G. Mainous, Rebecca J. Tanner, Christopher A. Harle, Richard Baker, Navkiran K. Shokar, Mary M. Hulihan
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Anemia
Online Access:http://dx.doi.org/10.1155/2015/853835
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author Arch G. Mainous
Rebecca J. Tanner
Christopher A. Harle
Richard Baker
Navkiran K. Shokar
Mary M. Hulihan
author_facet Arch G. Mainous
Rebecca J. Tanner
Christopher A. Harle
Richard Baker
Navkiran K. Shokar
Mary M. Hulihan
author_sort Arch G. Mainous
collection DOAJ
description Objective. Sickle cell disease (SCD) is a disease that requires a significant degree of medical intervention, and family physicians are one potential provider of care for patients who do not have access to specialists. The extent to which family physicians are comfortable with the treatment of and concerned about potential complications of SCD among their patients is unclear. Our purpose was to examine family physician’s attitudes toward SCD management. Methods. Data was collected as part of the Council of Academic Family Medicine Educational Research Alliance (CERA) survey in the United States and Canada that targeted family physicians who were members of CERA-affiliated organizations. We examined attitudes regarding management of SCD. Results. Overall, 20.4% of respondents felt comfortable with treatment of SCD. There were significant differences in comfort level for treatment of SCD patients depending on whether or not physicians had patients who had SCD, as well as physicians who had more than 10% African American patients. Physicians also felt that clinical decision support (CDS) tools would be useful for treatment (69.4%) and avoiding complications (72.6%) in managing SCD patients. Conclusions. Family physicians are generally uncomfortable with managing SCD patients and recognize the utility of CDS tools in managing patients.
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series Anemia
spelling doaj-art-2adb12a4ee0c42deaa9e34f69678e7ba2025-02-03T05:51:07ZengWileyAnemia2090-12672090-12752015-01-01201510.1155/2015/853835853835Attitudes toward Management of Sickle Cell Disease and Its Complications: A National Survey of Academic Family PhysiciansArch G. Mainous0Rebecca J. Tanner1Christopher A. Harle2Richard Baker3Navkiran K. Shokar4Mary M. Hulihan5Department of Health Services Research, Management and Policy, University of Florida, P.O. Box 100195, Gainesville, FL 32610, USADepartment of Health Services Research, Management and Policy, University of Florida, P.O. Box 100195, Gainesville, FL 32610, USADepartment of Health Services Research, Management and Policy, University of Florida, P.O. Box 100195, Gainesville, FL 32610, USADepartment of Health Sciences, University of Leicester, 22-28 Princess Road West, Leicester LE1 6TP, UKDepartment of Family and Community Medicine, Texas Tech University Health Science Center at El Paso, 9849 Kenworthy Street, El Paso, TX 79924, USADivision of Blood Disorders, CDC, National Center on Birth Defects and Developmental Disabilities, Mail-Stop E87, 1600 Clifton Road, Atlanta, GA 30333, USAObjective. Sickle cell disease (SCD) is a disease that requires a significant degree of medical intervention, and family physicians are one potential provider of care for patients who do not have access to specialists. The extent to which family physicians are comfortable with the treatment of and concerned about potential complications of SCD among their patients is unclear. Our purpose was to examine family physician’s attitudes toward SCD management. Methods. Data was collected as part of the Council of Academic Family Medicine Educational Research Alliance (CERA) survey in the United States and Canada that targeted family physicians who were members of CERA-affiliated organizations. We examined attitudes regarding management of SCD. Results. Overall, 20.4% of respondents felt comfortable with treatment of SCD. There were significant differences in comfort level for treatment of SCD patients depending on whether or not physicians had patients who had SCD, as well as physicians who had more than 10% African American patients. Physicians also felt that clinical decision support (CDS) tools would be useful for treatment (69.4%) and avoiding complications (72.6%) in managing SCD patients. Conclusions. Family physicians are generally uncomfortable with managing SCD patients and recognize the utility of CDS tools in managing patients.http://dx.doi.org/10.1155/2015/853835
spellingShingle Arch G. Mainous
Rebecca J. Tanner
Christopher A. Harle
Richard Baker
Navkiran K. Shokar
Mary M. Hulihan
Attitudes toward Management of Sickle Cell Disease and Its Complications: A National Survey of Academic Family Physicians
Anemia
title Attitudes toward Management of Sickle Cell Disease and Its Complications: A National Survey of Academic Family Physicians
title_full Attitudes toward Management of Sickle Cell Disease and Its Complications: A National Survey of Academic Family Physicians
title_fullStr Attitudes toward Management of Sickle Cell Disease and Its Complications: A National Survey of Academic Family Physicians
title_full_unstemmed Attitudes toward Management of Sickle Cell Disease and Its Complications: A National Survey of Academic Family Physicians
title_short Attitudes toward Management of Sickle Cell Disease and Its Complications: A National Survey of Academic Family Physicians
title_sort attitudes toward management of sickle cell disease and its complications a national survey of academic family physicians
url http://dx.doi.org/10.1155/2015/853835
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