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Table 7 Summary of reasons given by GPs for reassessment and monitoring intervals

From: Factors influencing general practitioners’ decisions about cardiovascular disease risk reassessment: findings from experimental and interview studies

Shorter monitoring and/or reassessment period (<6 Longer monitoring and/or reassessment period (6+ months)
Patient drivers
 • Low patient motivation to make lifestyle changes – may need to start medication earlier.
 • High patient motivation to make lifestyle changes – maintain motivation with good results.
 • Patient desires frequent monitoring and reassessment
Risk factor drivers
 • Borderline for treatment with medication
 • Monitoring of blood pressure and cholesterol after lifestyle change prescription
 • Comorbidities
 • Weight monitoring
 • Smokers: frequent monitoring of other risk factors and opportunities to reassess willingness to quit.
GP drivers
 • Strong focus on prevention/screening
 • Strong focus on reducing risk through lifestyle change rather than medication
 • View that you can monitor more often than recommended by guidelines without over-servicing
Patient drivers
 • High patient motivation - patient is motivated by early success with lifestyle change and can manage alone for longer intervals.
 • Longer time period needed for lifestyle changes to show results, in order not to discourage or demotivate patient with lack of success.
Risk factor drivers
 • Risk factors have decreased or are well controlled with medication
 • No urgent CVD risk factors that need to be addressed, and/or absolute risk is low
GP drivers
 • Too busy to reassess CVD risk unless requested by patient
 • Use of opportunistic monitoring and reassessment
 • Follow guideline recommendations on reassessment and monitoring frequency for low/moderate risk patients
 • Concern about over-servicing asymptomatic patients
 • Involvement of other practitioners in patient’s care (dietician, exercise physiologist, etc.)