No registrations found.
ID
Source
Health condition
Patients with a 10 years risk for cardiovascular disease of 20% or more and patients with established cardiovascular disease, who are (probably)not treated according to (evidence based)practice guideline recommendations. Cardiovascular disease, Cardiovascular risk management (CVRM), Audit and feedback, Implementation, Primary care, Quality of Care, Quality improvement
Sponsors and support
Intervention
Outcome measures
Primary outcome
mean difference between intervention group and control group for each indicator score.
Secondary outcome
1)Mean difference between intervention group and control group for the total of indicator scores.
2)Reported experiences of general practices (in the intervention group) who worked with the patient specific feedback.
3) Percentage of patients who did not get a change in treatment regardless the specific feedback.
4) Arguments for choice concerning 3)
Background summary
We will measure the added value of feedback on patient specific level compared with feedback on practice level. The feedback concerns improving the implementation of 6 specific recommendations in practice guidelines for CVRM. 22 General practices contracted with care group Arnhem on CVRM for at least 21 months participated.
Study objective
More patients in primary care will be treated according to (evidence based) guidelines if general practices receive feedback on a patient specific level then if they receive feedback on practice level comparing recipients practice with median performance of all participants.
Study design
28-12-2013 Baseline measurement
January 2014 Intervention practices receive feedback on patient specific level.
March 2014 Intervention practices will be contacted by telephone call to answer questions and check if feedback has arrived.
After these phone calls all practices will receive feedback on practice level comparing recipients practice with median performance of all participants.
01-07-2014 End of the intervention period, data measurement
July 2014 Data analysis: Assessment of difference between intervention group and control group. Assessment of the feedback of general practitioners on the process of patient specific feedback.
Intervention
All practices receive feedback on practice level comparing recipients practice with median performance of all participants. The intervention group also receives feedback on a patient specific level .
Inclusion criteria
At practice level: General practices who are contracted by care group in Arnhem for CVRM for more than 21 months.
At patient level:
1) patients on simvastatin treatment with a LDL cholesterol level > 2.5mmol/L
2) patients with a history of stroke on acetylsalicylic acid or carbasalate calcium anticoagulance monotherapy .
3) patients aged 70 and older, without established cardiovascular disease and without chronic heart failure treated with 3 or more antihypertensive drugs.
4) patients with chronic kidney disease and eGFR < 45 ml/min who did not take additional laboratory tests (PTH, Hb, calcium, phosphate).
5) patients with a diastolic blood pressure lower than 70mmHg.
6) patients with established cardiovascular disease not on anticoagulant therapy.
Exclusion criteria
None
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL4300 |
| NTR-old | NTR4445 |
| Other | CMO : 2013/556 |