Clinical competence, communication ability and adherence to choosing wisely recommendations for lipid reducing drug use in older adults.

ABSTRACT:

Background

Although lipid-lowering drugs are not recommended for primary prevention in patients 75+, prevalence of use is high and there is unexplained variation in prescribing between physicians. The objective of this study was to determine if physician communication ability and clinical competence are associated with prescribing lipid-lowering drugs for primary and secondary prevention.

Methods

We used a cohort of 4,501 international medical graduates, 161,214 U.S. Medicare patients with hyperlipidemia (primary prevention) and 49,780 patients with a history of cardiovascular disease (secondary prevention) not treated with lipid-lowering therapy who were seen by study physicians in ambulatory care. Clinical competence and communication ability were measured by the ECFMG cli

SUBMITTER: Tamblyn R 

PROVIDER: S-EPMC10662284 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature