Health care providers' perspectives on patient delay for seeking care for symptoms of acute myocardial infarction

UMMS Affiliation

Meyers Primary Care Institute; Department of Medicine, Division of Preventive and Behavioral Medicine

Publication Date


Document Type



Aged; *Attitude of Health Personnel; Cardiology; Emergency Service, Hospital; Female; Focus Groups; *Health Education; *Health Knowledge, Attitudes, Practice; Humans; Male; Middle Aged; Myocardial Infarction; Nursing; *Physician's Practice Patterns; Primary Health Care; Time Factors; United States


Health Services Research | Primary Care


To inform intervention development in a multisite randomized community trial, the Rapid Early Action for Coronary Treatment (REACT) project formative research was undertaken for the purpose of investigating the knowledge, beliefs, perceptions, and usual practice of health care professionals. A total of 24 key informant interviews of cardiologists and emergency physicians and 15 focus groups (91 participants) were conducted in five major geographic regions: Northeast, Northwest, Southeast, Southwest, and Midwest. Transcript analyses revealed that clinicians are somewhat unaware of the empirical evidence related to the problem of patient delay, are concerned about the practice constraints they face, and would benefit from concrete suggestions about how to improve patient education and encourage fast action. Findings provide guidance for selection of educational strategies and messages for health providers as well as patients and the public.


Health Educ Behav. 1999 Oct;26(5):714-33.

Journal/Book/Conference Title

Health education and behavior : the official publication of the Society for Public Health Education

Related Resources

Link to Article in PubMed

PubMed ID