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Br J Gen Pract. 2015 Jul;65(636):e447-53. doi: 10.3399/bjgp15X685657. Epub 2015 Jun 15.

Patients' views about taking a polypill to manage cardiovascular risk: a qualitative study in primary care.

Author information

1
Primary Care Clinical Sciences, NIHR National School for Primary Care Research, Primary Care Clinical Sciences Building, University of Birmingham, Birmingham.
2
Primary Care Health Sciences, NIHR National School for Primary Care Research, University of Oxford, Oxford.
3
Primary Care Unit, University of Cambridge, Cambridge.

Abstract

BACKGROUND:

A 'polypill' containing a combination of antihypertensives and statins could prevent up to 80% of cardiovascular disease (CVD) events.

AIM:

To investigate patients' opinions about the use of a polypill for CVD prevention.

DESIGN AND SETTING:

Qualitative study of 17 patients from seven primary care practices in Birmingham, UK.

METHOD:

Patients were recruited through purposive sampling to maximise variation of characteristics. Semi-structured interviews were conducted with responders. Results were analysed and reported using a qualitative description approach.

RESULTS:

Patients expressed concerns that polypill prescription for primary prevention simply on the basis of age was unnecessary and would lead to side effects, despite recognising potential benefits. For high-risk patients, or for secondary prevention, a polypill was deemed more acceptable, but was still felt to require regular monitoring of blood pressure and cholesterol.

CONCLUSION:

Patients were sceptical about the role of a polypill as a 'blanket' approach. If a population strategy offering a polypill to all people over a certain age was to be implemented, it would need to be supported by patient education.

KEYWORDS:

blood pressure; cardiovascular disease; cholesterol; patients’ views; polypill; prevention; primary care; risk factors

PMID:
26077268
PMCID:
PMC4484945
DOI:
10.3399/bjgp15X685657
[Indexed for MEDLINE]
Free PMC Article

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