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Research

Severe mental illness and cardioprotective medication prescribing: a qualitative study in general practice

Amanda Vettini, Gearóid K Brennan, Stewart W Mercer and Caroline A Jackson
BJGP Open 2024; 8 (2): BJGPO.2023.0176. DOI: https://doi.org/10.3399/BJGPO.2023.0176
Amanda Vettini
1 Centre for Population Health Sciences, Usher Institute, University of Edinburgh, Edinburgh, UK
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  • For correspondence: Amanda.Vettini{at}glasgow.ac.uk
Gearóid K Brennan
2 Faculty of Health Sciences & Sport, University of Stirling, Stirling, UK
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Stewart W Mercer
1 Centre for Population Health Sciences, Usher Institute, University of Edinburgh, Edinburgh, UK
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Caroline A Jackson
1 Centre for Population Health Sciences, Usher Institute, University of Edinburgh, Edinburgh, UK
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    Figure 1. Factors identified by GP participants as being barriers to cardioprotective medication prescribing in people with severe mental illness. CVD = cardiovascular disease. SMI = severe mental illness
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    Figure 2. Factors identified by GP participants as being enablers to cardioprotective medication prescribing in people with severe mental illness. MDT = multidisciplinary team

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    Table 1. GP participant demographic data
    Health boardSex, nAge band, nGP role, nWeekly contracted hours, nYear qualified, nYears at current practice, nPostgraduate mental health qualification, n
    Health board A, 10Female, 935–39 years, 1Partner, 7≤20 hours, 81976–1999, 90–5 years, 2Yes, 3
    Health board B, 5Male, 640–44 years, 2Salaried(fixed term), 1≥21 hours, 52000–2018, 66–10 years, 3No, 12
    45–49 years, 2Salaried(open ended), 4N/A, 2≥16 years, 7
    50–54 years, 3Locum or OOH, 3N/A, 3
    55–59 years, 3
    60–64 years, 2
    65–69 years, 0
    ≥70 years, 2
    Totals 15 15 15 15 15 15 15
    • OOH = out of hours.

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    Table 2. Aspirations and solutions to facilitate cardioprotective prescribing
    • Bolstering and sufficiently funding primary care

    • Improving IT systems for screening and monitoring

    • Enhancing communication between physical and mental care teams

      • Patients attending multidisciplinary team meetings

      • Joint mental and physical health consultations

    • Improving patients’ baseline quality of life through the provision of lifestyle community interventions

    • Embedding core workers, for example, mental health nurse, pharmacist, link worker

      • Providing key person for patient physical health discussions

Supplementary Data

  • AV_10.3399BJGPO.2023.0176_supp.pdf -

    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.

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Severe mental illness and cardioprotective medication prescribing: a qualitative study in general practice
Amanda Vettini, Gearóid K Brennan, Stewart W Mercer, Caroline A Jackson
BJGP Open 2024; 8 (2): BJGPO.2023.0176. DOI: 10.3399/BJGPO.2023.0176

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Severe mental illness and cardioprotective medication prescribing: a qualitative study in general practice
Amanda Vettini, Gearóid K Brennan, Stewart W Mercer, Caroline A Jackson
BJGP Open 2024; 8 (2): BJGPO.2023.0176. DOI: 10.3399/BJGPO.2023.0176
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Keywords

  • cardiovascular diseases
  • mental health
  • prescribing
  • qualitative research

More in this TOC Section

  • Improving general practitioner involvement in care home End-of-Life care. A systematic literature review and narrative synthesis
  • A mixed-methods qualitative study of Northern Ireland GP specialty trainees’ clinical confidence and teaching expectations in musculoskeletal medicine
  • Accuracy and suitability of eating disorder screening tools for binge eating disorder and bulimia nervosa in a primary care setting: a systematic review and narrative summary
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