In the November 27, 1995, issue of the ARCHIVES, Shaffer and Wexler1 report the results of an observational study entitled "Reducing Low-Density Lipoprotein Cholesterol Levels in a Ambulatory Care System." In patients referred to a multidisciplinary Lipid Clinic (LIP) as a supplement to their usual primary care, the authors demonstrated a reduction in total and low-density lipoprotein cholesterol and a 4-fold improvement in compliance with the National Cholesterol Education Program I guidelines.
Do the authors have any comments on which of the multiple components of their intervention was most effective in achieving the favorable lipid outcomes? Potential contributing factors to the improved outcome in the LIP group include enhanced motivation in a selected patient subset, improved medication or dietary compliance resulting from intensive education and counseling, a more than 2-fold increase in prescribed hypolipidemic medication, or the use of statin drugs exclusively in the LIP group.
Educational programs directed