A Quality Improvement Plan for Hypertension Control: the INCOTECA Project
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 34,327
- 试验地点
- 1
- 主要终点
- good control of hypertension as a dichotomous variable, based on systolic blood pressure and diastolic blood pressure records over the last 12 months
研究概览
简要总结
The study hypothesis is that the implementation of a plan for quality improvement at the primary care health teams taking care of hypertensive patients, will increase the level of blood pressure control among those patients.
详细描述
The study is to compare the results on the hypertension control between two groups of primary health care teams. The intervention group will undertake a quality improvement plan for hypertension control, in which the following aspects will be included in the intervention:
Specific training programme on how to diagnose hypertension , and measure blood pressure correctly To send feed back information to primary care health professionals about poorly controlled hypertensive patients An audit will be performed, every 6 months, to see the adhesion to the recommended clinical guidelines , and the information will be diffused among the participant primary health care professionals Each participant primary health care team will have a designated reference person, that will provide support on any doubts on the programme implementation.
The non intervention group will follow hypertensive patients following the same clinical practice guide as the intervention group, with no intervention on the primary health care professionals
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients diagnosed with hypertension before January 1st, 2006
- •Patients assigned at the primary health team participating, and with clinical electronic records
排除标准
- •Patients diagnosed with hypertension after January 1st, 2006
- •Patients under 18 years of age
- •Patients with a diastolic blood pressure higher than systolic blood pressure as recorded in the clinical records
结局指标
主要结局
good control of hypertension as a dichotomous variable, based on systolic blood pressure and diastolic blood pressure records over the last 12 months
时间窗: every three months, for a whole year
次要结局
- treatment with antihypertensive drugs, number of antihypertensive drugs, assessment of therapeutic compliance(every three months, for a whole year)