Articles producció científica> Infermeria

Ten-year follow-up of clinical governance implementation in primary care: Improving screening, diagnosis and control of cardiovascular risk factors

  • Datos identificativos

    Identificador: imarina:6389697
    Handle: https://hdl.handle.net/20.500.11797/imarina6389697
    Autores:
    Martín CAGonçalves AQLópez-Pablo CFernández-Sáez JDrago EFRojas ZHVilaubí JMPCumplido DRPiñol JLBladé-Creixenti JLlorca MRD
    Resumen:
    © 2019 by the authors. protective effect of having a cardiovascular event (hazard ratio (HR) = 0.64, 95% confidence interval (CI) = 0.44–0.94) or death (HR = 0.55, 95% CI = 0.35–0.88) was observed in patients from centres where general practitioners received high frequency feedback. Additionally, these PCCs presented improved cardiovascular health indicators and lower incidence and mortality by CVD, illustrating the impact of this intervention.Current improvement strategies for the control of cardiovascular risk factors (CRFs) in Europe are based on quality management policies. With the aim of understanding the effect of interventions delivered by primary healthcare systems, we evaluated the impact of clinical governance on cardiovascular health after ten years of implementation in Catalonia. A cohort study that included 1878 patients was conducted in 19 primary care centres (PCCs). Audits that comprised 13 cardiovascular health indicators were performed and general practitioners received periodic (annual, biannual or monthly) feedback about their clinical practice. We evaluated improvement in screening, diagnosis and control of the main CRFs and the effects of the feedback on cardiovascular risk (CR), incidence of cardiovascular disease (CVD) and mortality, comparing baseline data with data at the end of the study (after a 10-year follow-up). The impact of the intervention was assessed globally and with respect to feedback frequency. General improvement was observed in screening, percentage of diagnoses and control of CRFs. At the end of the study, few clinically significant differences in CRFs were observed between groups. However, the reduction in CR was greater in the group receiving high frequency feedback, specifically in relation to smoking and control of diabete

  • Otros:

    Autor según el artículo: Martín CA; Gonçalves AQ; López-Pablo C; Fernández-Sáez J; Drago EF; Rojas ZH; Vilaubí JMP; Cumplido DR; Piñol JL; Bladé-Creixenti J; Llorca MRD
    Departamento: Infermeria
    Autor/es de la URV: Lopez Pablo, Carlos
    Palabras clave: Primary health care Mortality Incidence Feedback Clinical governance Clinical audit Cardiovascular diseases mortality incidence feedback clinical governance clinical audit cardiovascular diseases
    Resumen: © 2019 by the authors. protective effect of having a cardiovascular event (hazard ratio (HR) = 0.64, 95% confidence interval (CI) = 0.44–0.94) or death (HR = 0.55, 95% CI = 0.35–0.88) was observed in patients from centres where general practitioners received high frequency feedback. Additionally, these PCCs presented improved cardiovascular health indicators and lower incidence and mortality by CVD, illustrating the impact of this intervention.Current improvement strategies for the control of cardiovascular risk factors (CRFs) in Europe are based on quality management policies. With the aim of understanding the effect of interventions delivered by primary healthcare systems, we evaluated the impact of clinical governance on cardiovascular health after ten years of implementation in Catalonia. A cohort study that included 1878 patients was conducted in 19 primary care centres (PCCs). Audits that comprised 13 cardiovascular health indicators were performed and general practitioners received periodic (annual, biannual or monthly) feedback about their clinical practice. We evaluated improvement in screening, diagnosis and control of the main CRFs and the effects of the feedback on cardiovascular risk (CR), incidence of cardiovascular disease (CVD) and mortality, comparing baseline data with data at the end of the study (after a 10-year follow-up). The impact of the intervention was assessed globally and with respect to feedback frequency. General improvement was observed in screening, percentage of diagnoses and control of CRFs. At the end of the study, few clinically significant differences in CRFs were observed between groups. However, the reduction in CR was greater in the group receiving high frequency feedback, specifically in relation to smoking and control of diabetes and cholesterol (Low Density Lipoprotein (LDL) and High Density Lipoprotein (HDL)). A.
    Áreas temáticas: Zootecnia / recursos pesqueiros Serviço social Saúde coletiva Química Public, environmental & occupational health Public health, environmental and occupational health Psicología Pollution Odontología Nutrição Medicina iii Medicina ii Medicina i Materiais Interdisciplinar Health, toxicology and mutagenesis Geografía Geociências Farmacia Environmental studies Environmental sciences Ensino Engenharias ii Engenharias i Enfermagem Educação física Educação Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências ambientais Ciências agrárias i Ciência da computação Biotecnología Biodiversidade Astronomia / física Administração pública e de empresas, ciências contábeis e turismo
    Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 16604601
    Direcció de correo del autor: carlos.lopez@urv.cat
    Identificador del autor: 0000-0003-1248-3065
    Fecha de alta del registro: 2023-07-31
    Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
    Enlace a la fuente original: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6862228/
    Referencia al articulo segun fuente origial: International Journal Of Environmental Research And Public Health. 16 (21):
    Referencia de l'ítem segons les normes APA: Martín CA; Gonçalves AQ; López-Pablo C; Fernández-Sáez J; Drago EF; Rojas ZH; Vilaubí JMP; Cumplido DR; Piñol JL; Bladé-Creixenti J; Llorca MRD (2019). Ten-year follow-up of clinical governance implementation in primary care: Improving screening, diagnosis and control of cardiovascular risk factors. International Journal Of Environmental Research And Public Health, 16(21), -. DOI: 10.3390/ijerph16214299
    URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
    DOI del artículo: 10.3390/ijerph16214299
    Entidad: Universitat Rovira i Virgili
    Año de publicación de la revista: 2019
    Tipo de publicación: Journal Publications

  • Palabras clave:

    Environmental Sciences,Health, Toxicology and Mutagenesis,Pollution,Public Health, Environmental and Occupational Health,Public, Environmental & Occupational Health
    Primary health care
    Mortality
    Incidence
    Feedback
    Clinical governance
    Clinical audit
    Cardiovascular diseases
    mortality
    incidence
    feedback
    clinical governance
    clinical audit
    cardiovascular diseases
    Zootecnia / recursos pesqueiros
    Serviço social
    Saúde coletiva
    Química
    Public, environmental & occupational health
    Public health, environmental and occupational health
    Psicología
    Pollution
    Odontología
    Nutrição
    Medicina iii
    Medicina ii
    Medicina i
    Materiais
    Interdisciplinar
    Health, toxicology and mutagenesis
    Geografía
    Geociências
    Farmacia
    Environmental studies
    Environmental sciences
    Ensino
    Engenharias ii
    Engenharias i
    Enfermagem
    Educação física
    Educação
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
    Ciências ambientais
    Ciências agrárias i
    Ciência da computação
    Biotecnología
    Biodiversidade
    Astronomia / física
    Administração pública e de empresas, ciências contábeis e turismo

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