To encourage physicians to increase their prescription of ACE inhibitors, Randall Stafford, MD, PhD, instructor in medicine at Harvard Medical School and Massachusetts General Hospital in Boston, offers several suggestions:
· Educate physicians on the benefits of ACE inhibitors and how to deal with contraindications.
· Educate patients on the benefits of the drugs and the importance of compliance. Make greater use of pharmacy information to track whether patients are continuing to pick up their medications.
· Tie physicians' performance reviews to appropriate usage of medications.
· Implement a uniform approach to treating CHF that follows the clinical guidelines. A multidisciplinary approach that shifts some of the burden off physicians to nurses, dietitians, pharmacists, and other clinicians who can deal with these long-term issues is key.