Education could solve ACE inhibitor problem

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.