Can non-physician health-care workers assess and manage cardiovascular risk in primary care?

Abstract:

OBJECTIVE:To ascertain the reliability of applying the WHO Cardiovascular Risk Management Package by non-physician health-care workers (NPHWs) in typical primary health-care settings. METHODS:Based on an a priori 80% agreement level between the NPHWs and the "expert" physicians (gold standard), 649 paired (matched) applications of the protocol were obtained for analysis using Kappa statistic and multivariate logit regression. FINDINGS:Results indicate over 80% agreement between raters, from moderate to perfect levels of agreement in almost all of the sections in the package. The odds of obtaining a difference between raters and a benchmark are not statistically significant. CONCLUSION:Applying the WHO Cardiovascular Risk Management Package, NPHWs can be retrained to reliably and effectively assess and manage cardiovascular risks in primary health-care settings where there are no attending physicians. The package could be a useful tool for scaling up the management of cardiovascular diseases in primary health care.

authors

Abegunde DO,Shengelia B,Luyten A,Cameron A,Celletti F,Nishtar S,Pandurangi V,Mendis S

doi

10.2471/blt.06.032177

subject

Has Abstract

pub_date

2007-06-01 00:00:00

pages

432-40

issue

6

eissn

0042-9686

issn

1564-0604

pii

S0042-96862007000600009

journal_volume

85

pub_type

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