Impact of implementing electronic clinical practice guidelines for the diagnosis, control and treatment of cardiovascular risk factors: A pre-post controlled study
| Autor: | Jose Luis del Val, Manel Mata-Cases, María Grau, Eva Frigola, Eva Comín, Angels Pons, José María Verdú-Rotellar, Ester Amado, Ramon Ciurana, Arantxa Catalan-Ramos, Alicia Franzi, Manuel Iglesias-Rodal, Alicia Consola, Xavier Cos, Josep Davins |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Gerontology
medicine.medical_specialty Hypercholesterolemia Cardiovascular risk factors Control (management) Intervention group 03 medical and health sciences Historia clínica electrónica 0302 clinical medicine Intervention (counseling) Type 2 diabetes mellitus Hipertensión Electronic health records Medicine 030212 general & internal medicine Medical diagnosis Hipercolesterolemia Medicine(all) lcsh:R5-920 Práctica basada en la evidencia Guías de práctica clínica Medicina basada en l'evidència business.industry Malalties cardiovasculars Type 2 Diabetes Mellitus Hypertension management General Medicine Evidence-based practice Originales Clinical Practice Diabetes mellitus tipo 2 Cardiovascular diseases Hypertension Physical therapy Hipertensió Hipercolesterolèmia lcsh:Medicine (General) Clinical practice guidelines Family Practice business 030217 neurology & neurosurgery |
| Zdroj: | Dipòsit Digital de la UB Universidad de Barcelona Dipòsit Digital de Documents de la UAB Universitat Autònoma de Barcelona Atención Primaria, Vol 49, Iss 7, Pp 389-398 (2017) Atencion Primaria |
| Popis: | Objective To evaluate the impact of computerized clinical practice guidelines on the management, diagnosis, treatment, control, and follow-up of the main cardiovascular risk factors: hypertension, hypercholesterolaemia, and type 2 diabetes mellitus. Design Pre-post controlled study. Setting Catalonia, autonomous community located in north-eastern Spain. Participants Individuals aged 35–74 years assigned to general practitioners of the Catalan Health Institute. Intervention The intervention group consisted of individuals whose general practitioners had accessed the computerized clinical practice guidelines at least twice a day, while the control group consisted of individuals whose general practitioner had never accessed the computerized clinical practice guidelines platform. Main outcomes The Chi-squared test was used to detect significant differences in the follow-up, control, and treatment variables for all three disorders (hypertension, hypercholesterolaemia, and type 2 diabetes mellitus) between individuals assigned to users and non-users of the computerized clinical practice guidelines, respectively. Results A total of 189,067 patients were included in this study, with a mean age of 56 years (standard deviation 12), and 55.5% of whom were women. Significant differences were observed in hypertension management, treatment and control; type 2 diabetes mellitus management, treatment and diagnoses, and the management and control of hypercholesterolaemia in both sexes. Conclusions Computerized clinical practice guidelines are an effective tool for the control and follow-up of patients diagnosed with hypertension, type 2 diabetes mellitus, and hypercholesterolaemia. The usefulness of computerized clinical practice guidelines to diagnose and adequately treat individuals with these disorders remains unclear. |
| Databáze: | OpenAIRE |
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