TITLE

A quality improvement plan for hypertension control: the INCOTECA Project (INterventions for COntrol of hyperTEnsion in CAtalonia)

AUTHOR(S)
Vallès-Fernandez, Roser; Rosell-Murphy, Magdalena; Aventin, Olga Correcher-; Mengual-Martínez, Lucas; Aznar-Martínez, Núria; Lamo, Gemma Prieto- De; Franzi-Sisó, Alícia; Puig-Manresa, Jordi; Bonet-Simó, Josep Ma
PUB. DATE
January 2009
SOURCE
BMC Public Health;2009, Vol. 9, p89
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Different studies have shown insufficient blood pressure (BP) control in hypertensive patients. Multiple factors influence hypertension management, and the quality of primary care is one of them. We decided therefore to evaluate the effectiveness of a quality improvement plan directed at professionals of Primary Health Care Teams (PHCT) with the aim to achieve a better control of hypertension. The hypothesis of the study is that the implementation of a quality improvement plan will improve the control of hypertension. The primary aim of this study will be to evaluate the effectiveness of this plan. Methods and design: Design: multicentric study quasi-experimental before - after with control group. The non-randomised allocation of the intervention will be done at PHCT level. Setting: 18 PHCT in the Barcelona province (Spain). Sample: all patients with a diagnosis of hypertension (population based study). Exclusion criteria: patients with a diagnosis of hypertension made later than 01/01/2006 and patients younger than 18 years. Intervention: a quality improvement plan, which targets primary health care professionals and includes educational sessions, feedback to health professionals, audit and implementation of recommended clinical practice guidelines for the management of hypertensive patients. Measurements: age, sex, associated co-morbidity (diabetes mellitus type I and II, heart failure and renal failure). The following variables will be recorded: BP measurement, cardiovascular risk and antihypertensive drugs used. Results will be measured before the start of the intervention and twelve months after the start of the study. Dependent variable: prevalence of hypertensive patients with poor BP control. Analysis: Chi-square test and Student's t-test will be used to measure the association between independent qualitative and quantitative variables, respectively. Non-parametric tests will be used for the analysis of non-normally distributed variables. Significance level (α) will be set at < 0.05. Outcomes will be analysed on an intention-to-treat basis. Discussion: The implementation of a quality improvement plan might benefit the coordination of different professionals of PHCTs and may also improve blood pressure control. Trial Registration: This protocol has been registered at clinicaltrials.gov with the ID number MS: 1998275938244441.
ACCESSION #
51511211

 

Related Articles

  • Patient engagement: an investigation at a primary care clinic. Gill, Preetinder Singh // International Journal of General Medicine;2013, Vol. 6, p85 

    Background: Engaged employees are an asset to any organization. They are instrumental in ensuring good commercial outcomes through continuous innovation and incremental improvement. A health care facility is similar to a regular work setting in many ways. A health care provider and a patient...

  • Hypertensive crises: Treat the patient, not the BP. Miller, Dana; Bohan, J. Stephen // Patient Care;2/15/1999, Vol. 33 Issue 3, p129 

    Focuses on the management of hypertension urgencies in primary care medicine. Hypertensive emergencies as situations that require immediate reduction of blood pressure because of acute or progressing target organ damage; Clinical features of accelerated-malignant hypertension; Guidelines for...

  • Colorectal Cancer Screening Compliance and Contemplation in Gynecology Patients. Menees, Stacy B.; Inadomi, John; Elta, Grace; Korsnes, Sheryl; Punch, Margaret; Aldrich, Leslie // Journal of Women's Health (15409996);May2010, Vol. 19 Issue 5, p911 

    Objective: Colorectal cancer screening (CRCS) should be a necessary part of gynecology (GYN) providers' preventive practices. The purpose of our study is to examine CRCS recommendations and adherence in this population. Methods: A questionnaire was administered to a prospective cohort of...

  • FACILITATION IN TYPE 2 DIABETES. Nicholl, Lynne // Practice Nurse;9/26/2003, Vol. 26 Issue 5, p50 

    Focuses on the role of facilitators in supporting primary care staff in developing programs of care for diabetes. Importance of communication among practice staff; Information on the result of a final audit on patients with type 2 diabetes in Middlesex, England; Implications for facilitators of...

  • 'Wide variations' in Welsh diabetes care. Polak, Monika // GP: General Practitioner;12/15/2003, p21 

    Patient satisfaction with Welsh diabetes services is high, despite there being wide variation in the type and extent of these services, a report by the Audit Commission has concluded. The baseline review of primary and secondary care diabetes services, published earlier this month, found that...

  • Rural PCTs top CHI league table. Durham, Neil // GP: General Practitioner;7/21/2003, p3 

    An apparent rural-urban divide is to be investigated after inner-city areas made a relatively poor showing in the first PCT star rating league tables. Critics of the system claimed urban areas found it harder to achieve the top three-star rating because they were more likely to score poorly on...

  • Nurse-led diabetes care. McCallum, Carole // Practice Nurse;7/11/2003, Vol. 26 Issue 1, p44 

    Determines whether a nurse-led clinic may address the increasing number of people with diabetes in primary care. Prevalence of diabetes in Great Britain; Background on the Diabetes National Service Framework Standards; Significant aspects of glycemic control among diabetic patients; Examples of...

  • Implementing the Chronic Care Model: A Statewide Focus on Improving Diabetes Care for Pennsylvania. Siminerio, Linda; Wagner, Edward H.; Gabbay, Robert; Zgibor, Janice // Clinical Diabetes;Fall2009, Vol. 27 Issue 4, p153 

    The article focuses on improving diabetes care in Pennsylvania through implementation of chronic care model. Chronic disease including diabetes, asthma and heart conditions are reportedly the main cause of death and disability in Pennsylvania. The primary care systems are stated as...

  • The management of diabetes. Griffin, Simon J // BMJ: British Medical Journal (International Edition);10/27/2001, Vol. 323 Issue 7319, p946 

    Editorial. Focuses on medical care for diabetics. Registration, recall, and regular review as standard treatment for diabetes; Details of a clinical trial from Danish general practice on enhancing the care of diabetes; Ability of primary care to handle diabetes cases.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics