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Improving quality of organizing cardiovascular preventive care in general practice by outreach visitors: a randomized controlled trial.

Abstract：

BACKGROUND:Adequate care for patients with cardiovascular risks requires an adequate practice organization. Educational outreach visits are a promising approach to modifying professional behavior. We aimed to assess whether the quality of cardiovascular preventive care in general practice can be improved through a comprehensive intervention implemented by an educational outreach visitor. METHODS:After baseline measurements, general practices (n = 124) in the southern half of The Netherlands were randomly allocated to either intervention or control group. The intervention, based on the educational outreach model, comprised 15 practice visits over a period of 21 months and addressed a large number of issues around task delegation, availability of instruments and patient leaflets, record-keeping, and follow-up routines. Twenty-one months after the start of the intervention, postintervention measurements were performed. The difference between ideal and actual practice in each aspect of organizing preventive care was defined as a deficiency score. Primary outcome measure was the difference in deficiency scores before and after the intervention. RESULTS:All practices completed both baseline and postintervention measurements. The difference in change between intervention and control group adjusted for baseline was statistically significant (P < 0.001) for each aspect of organizing preventive care. The largest absolute improvement was found for the number of preventive tasks performed by the practice assistant. CONCLUSIONS:This study showed that a comprehensive intervention implemented by outreach visitors was effective in improving organization of cardiovascular preventive care in general practice.

journal_name

Prev Med

journal_title

Preventive medicine

authors

Lobo CM,Frijling BD,Hulscher ME,Bernsen RM,Braspenning JC,Grol RP,Prins A,van der Wouden JC

doi

10.1006/pmed.2002.1095

subject

Has Abstract

pub_date

2002-11-01 00:00:00

pages

422-9

issue

5

eissn

0091-7435

issn

1096-0260

pii

S0091743502910959

journal_volume

35

pub_type

临床试验,杂志文章,多中心研究,随机对照试验

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