title: Health care providers' perspectives on patient delay for seeking care for symptoms of acute myocardial infarction.
abstract: To inform intervention development in a multisite randomized community trial, the Rapid Early Action for Coronary Treatment (REACT) project formative research was undertaken for the purpose of investigating the knowledge, beliefs, perceptions, and usual practice of health care professionals. A total of 24 key informant interviews of cardiologists and emergency physicians and 15 focus groups (91 participants) were conducted in five major geographic regions: Northeast, Northwest, Southeast, Southwest, and Midwest. Transcript analyses revealed that clinicians are somewhat unaware of the empirical evidence related to the problem of patient delay, are concerned about the practice constraints they face, and would benefit from concrete suggestions about how to improve patient education and encourage fast action. Findings provide guidance for selection of educational strategies and messages for health providers as well as patients and the public.
authors.affiliation: University of Massachusetts Medical Center, Worcester, MA 01655, USA. jzapka@banyan.ummed.edu
authors.forename: J
authors.initials: J
authors.lastname: Zapka
authors.forename: B
authors.initials: B
authors.lastname: Estabrook
authors.forename: J
authors.initials: J
authors.lastname: Gilliland
authors.forename: L
authors.initials: L
authors.lastname: Leviton
authors.forename: H
authors.initials: H
authors.lastname: Meischke
authors.forename: S
authors.initials: S
authors.lastname: Melville
authors.forename: J
authors.initials: J
authors.lastname: Taylor
authors.forename: M
authors.initials: M
authors.lastname: Daya
authors.forename: B
authors.initials: B
authors.lastname: Laing
authors.forename: A
authors.initials: A
authors.lastname: Meshack
authors.forename: R
authors.initials: R
authors.lastname: Reyna
authors.forename: M
authors.initials: M
authors.lastname: Robbins
authors.forename: M
authors.initials: M
authors.lastname: Hand
authors.forename: J
authors.initials: J
authors.lastname: Finnegan
mesh_terms: D000368:Aged; D001291:Attitude of Health Personnel; D002309:Cardiology; D004636:Emergency Service, Hospital; D005260:Female; D017144:Focus Groups; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000628:therapy*; D009729:Nursing; D010818:Practice Patterns, Physicians'; D011320:Primary Health Care; D013997:Time Factors; D014481:United States