Influence of work experience on the choice of antihypertensive drugs by outpatient doctors

Assessment of impact of work experience impact on antihypertensive drugs treatment structure was performed by questioning 104 doctors of outpatient services in Voronezh region. 58 people There were 58 general practitioners - (55.8%), 37 people werephysicians therapists (35.6%), 4 cardiologists (3.8%), and 5 persons did not indicate their specialty (4.8%). The first group included 49 doctors with an experience of up to 15 years (average experience of 6.2 ± 4.7 years), the second group - 45 doctors with an experience of more than 15 years (average experience of 27.5 ± 7.8 years), 10 doctors did not indicate their work experience. Most of the doctors prescribed fixed combinations of the drugs, most frequently ACE inhibitor and diuretic - 71.9%, ACE inhibitor and calcium antagonist (CA) - 46.2%, angiotensin receptor blocker (ARB) and diuretic - 36.4%. First group Ddoctors in the first group chose ACE inhibitors in 95.9% of cases, β-beta-adrenoblockers (BAB) and diuretics in 91.8%, less often ARBs - 89.7%, CA - 85.7% and imidazoline receptor agonists (IRA) - 61.2%. Second group Ddoctors with experience of more than 15 years prescribed ACE inhibitors for 93.3% of the patients; diuretics and CA were often used - 91.1%, BAB and ARB - in 88.8% and 80.0% of the cases respectively; IRA were prescribed less frequently - in 48.8% (p> 0.05). The choice of antihypertensive drugs by the outpatient doctors in Voronezh region did not depend on their work experience. The therapy was consistent with the current clinical guidelines with preference to the fixed combinations of the drugs.