EVALUATION BY PRACTICING DOCTORS OF THE MODERN PHARMACOTHERAPY POSSIBILITIES IN PATIENTS WITH ISCHEMIC HEART DISEASE. RESULTS OF DOCTOR INTERVIEW IN MOSCOW AND VORONEZH

Abstract

Aim. To evaluate opinion of doctors about modern pharmacotherapy possibilities in patients with ischemic heart disease (IHD) and about basic problems of pharmacotherapy implementation.Material and methods. Interviews of doctors from various health care institutions in Moscow and Voronezh were performed in 2009. Interview was performed with questionnaire containing 5 questions. Doctors of different specialties (n=64 from Moscow and n=69 from Voronezh) participated in interviewing.Results. The majority of doctors in Moscow and Voronezh were sure in advantage of IHD pharmacotherapy vs coronary angioplasty and stenting (55% and 63%, respectively). Only 37% and 32% of doctors in Moscow and Voronezh, respectively, believed in real achievement of target levels of low density cholesterol and 45% and 61% of them, respectively, considered high cost of statins as the main limit for its implementation.Conclusion. On one hand interviews among practicing doctors in Moscow and Voronezh demonstrated satisfied knowledge of modern clinical guidelines on IHD therapy. On the other hand they gave understanding why doctors not always follow these guidelines.

Keywords

• interviewing of doctors
• ischemic heart disease
• clinical guidelines
• real clinical practice