Ciência & Saúde Coletiva | |
Motives for requesting an electrocardiogram in primary health care | |
Paulo Santos1  Carlos Martins1  Luísa Sá1  Alberto Hespanhol1  Luciana Couto1  | |
关键词: Electrocardiography; Primary health care; Routine diagnostic tests; Physician-patient relations; Eletrocardiograma; Cuidados de saúde primários; Testes de diagnóstico; Relação médico-doente; | |
DOI : 10.1590/1413-81232015205.10062014 | |
来源: SciELO | |
【 摘 要 】
The management of requests for diagnostic exams presents its own inherent characteristics in primary health care and reflects the specific nature of the physician-patient relationship. The scope of the study was to identify the reasons for requesting an electrocardiogram (ECG) in primary health care. A cross-sectional study was conducted in an urban region in Portugal, establishing the motives to ask for an ECG consecutively over two years, starting on 01/03/2007 using data retrieved from structured forms filled out by the physician at the moment of requesting the exam. A total of 870 ECGs of 817 patients were included. Symptoms manifested during the patient visit justified 48.5% of the ECGs, and follow-up of cardiovascular risk factors motivated 25.2%. A global health examination accounted for 22.8% of the requests. Multivariate analysis showed that the presence of symptoms (p < 0.001), presence of any cardiovascular risk factor (p = 0.002), hypertension (p < 0.001), diabetes (p = 0.002), and urgency (p < 0.001) were the main factors associated with the requests. The requests for electrocardiograms are predominantly for clinical reasons as a result of patients symptoms. The integration of expectations and beliefs of the patients is present in the decision-making process.
【 授权许可】
CC BY
All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License
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