An educational programme for peer review groups to improve treatment of chronic heart failure and diabetes mellitus type 2 in general practice.
Rationale, aims and objectives Peer review groups are considered helpful for quality improvement in primary care. An interactive educational programme for small peer groups was developed, focusing on the implementation of newly developed treatment guidelines. The aim is to evaluate the effect of the...
| Publicado en: | Journal of Evaluation in Clinical Practice Vol. 12; no. 6; pp. 613 - 622 |
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| Autores principales: | , , , , |
| Formato: | algorithm clinical trial research Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2006
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106296487&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106296487 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13561294 EV1 jtl: Journal of Evaluation in Clinical Practice issn: 13561294 maglogo: Y pubinfo: dt: Dec2006 vid: 12 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106296487 106296487 2009342118 10.1111/j.1365-2753.2005.00625.x NLM17100860 106296487 ppf: 613 ppct: 9 formats: tig: atl: An educational programme for peer review groups to improve treatment of chronic heart failure and diabetes mellitus type 2 in general practice. aug: au: Kasje WN Denig P Stewart RE de Graeff PA Haaijer-Ruskamp FM affil: Department of Clinical Pharmacology, University of Groningen, The Netherlands. sug: subj: Angiotensin-Converting Enzyme Inhibitors Therapeutic Use Antihypertensive Agents Therapeutic Use Diabetes Mellitus, Type 2 Complications Education, Medical, Continuing Family Practice Education Heart Failure Drug Therapy Hypertension Drug Therapy Peer Review Professional Compliance Evaluation Chronic Disease Clinical Trials Cluster Analysis Descriptive Statistics Female Funding Source Hypertension Etiology Linear Regression Logistic Regression Male Netherlands Outcome Assessment Physician Attitudes Practice Guidelines Education Program Evaluation Questionnaires Random Assignment Regression Student Attitudes Human Female Male ab: Rationale, aims and objectives Peer review groups are considered helpful for quality improvement in primary care. An interactive educational programme for small peer groups was developed, focusing on the implementation of newly developed treatment guidelines. The aim is to evaluate the effect of the programme on adherence to treatment guidelines in general practice. Methods A cluster randomized trial using a balanced incomplete block design was used; one arm received a programme on treatment of chronic heart failure (CHF), the other on hypertension treatment in diabetes mellitus type 2 (T2DM). A random sample of 10 CHF and 10 T2DM patients per GP was drawn, for whom data were extracted from electronic patient records 1 years before and 6 months after the intervention. The outcomes were prescribing of ACE inhibitors, and antihypertensive treatment in T2DM. The effect was analysed separately for both programmes using multilevel regression models. Results All 27 peer review groups in one region in the Netherlands were randomized, of which 16 participated. No significant effects were observed in the CHF group or in the T2DM group. The opportunity for change was limited, as only 53% of the CHF patients and 60% of the T2DM patients had a contact with their GP between the intervention and follow-up measurement. Conclusion The peer review programme was not successful for changing the treatment of chronic patients, although the programme focused on dealing with barriers perceived by the participants. Not all problems perceived can be solved in a peer group discussion. pubtype: Academic Journal doctype: algorithm clinical trial research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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