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Background: Our aim was to evaluate specialist physicians’ referral patterns for cardiovascular risk reduction (CRR) while identifying existing CRR programs in a large Canadian city. Methods: This was a cross-sectional study involving an electronic survey of cardiologists and internists in Calgary, Alberta, to assess CRR referral patterns. A concurrent online search for programs addressing CRR was undertaken. Results: Twenty-four CRR programs were identified. Nine (37.5%, 95% CI: 21.2–57.2) required physician referral. Half (50.0%, 95% CI: 31.4–68.6) had no direct patient cost. A majority of surveyed physicians estimated that more than half of their patients have at least one modifiable risk factor. However, 75.0% (95% CI: 61.2–85.1) had referred less than half of these patients for CRR. Conclusion: Our study demonstrates a gap in specialist physician referral practices for CRR. Patients with modifiable risk factors may not be accessing valuable CRR resources. Résumé Contexte : Notre but consistait à évaluer les habitudes d’orientation des médecins spécialistes en ce qui a trait à la réduction du risque cardiovasculaire (RRCV) et à recenser les programmes de RRCV présents à l’intérieur d’une grande ville canadienne. Méthodologie : Une étude de prévalence a été menée par sondage électronique auprès des cardiologues et des internistes de la ville de Calgary, Alberta, dans le but d’évaluer les habitudes d’orientation en ce qui a trait à la réduction du risque cardiovasculaire (RRCV). Parallèlement, une recherche sur les programmes de RRCV a été entreprise, en ligne également. Résultats : On a répertorié 24 programmes de RRCV. Neuf (37,5 %; IC de 95 % : 21,2–57,2) nécessitent que le patient soit recommandé par un médecin. La moitié (50,0 %; IC de 95 % : 31,4–68,6) n’engendre aucun coût direct pour le patient. C a n a d i a n J o u r n a l o f G e n e r a l I n t e r n a l M e d i c i n e V o l u m e 1 2 , I s s u e 4 , 2 0 1 7 21 C l i n i c a l M e d i c i n e : Th e A r t a n d S c i e n c e

canadian journal of general internal medicine

An Assessment of Specialist Physician Referral Practices for Long-Term Cardiovascular Risk Reduction in the Community: Are We Using Our Available Resources?