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Impact of implementing electronic clinical practice guidelines for the diagnosis, control and treatment of cardiovascular risk factors : A pre-post controlled study
Comin, Eva (Institut Català de la Salut, Barcelona)
Catalan-Ramos, Arantxa (Agència de Qualitat i Avaluació Sanitàries de Catalunya, Barcelona)
Iglesias-Rodal, Manuel (Institut Català de la Salut, Barcelona)
Grau, Maria (Institut Hospital del Mar d'Investigacions Mèdiques)
del Val, Jose Luis (Institut d'Investigació en Atenció Primària Jordi Gol, Barcelona)
Consola, Alicia (Aplicaciones en Informática Avanzada (AIA))
Amado, Ester (Institut Català de la Salut, Barcelona)
Pons, Angels (Institut Català de la Salut, Barcelona)
Mata-Cases, Manel (Institut Català de la Salut, Barcelona)
Franzi, Alicia (Institut Català de la Salut, Barcelona)
Frigola, Eva (Universitat Autònoma de Barcelona. Institut Universitari de Qualitat Assistencial i Seguretat Clínica Avedis Donabedian)
Cos, Xavier (Institut Català de la Salut, Barcelona)
Davins, Josep (Subdirecció General de Serveis Sanitaris, Departament de Salut)
Verdu-Rotellar, Jose M. (Universitat Autònoma de Barcelona)

Date: 2017
Abstract: To evaluate the impact of computerized clinical practice guidelines on the management, diagnosis, treatment, control, and follow-up of the main cardiovascular risk factors: hypertension, hypercholesterolaemia, and type 2 diabetes mellitus. Pre-post controlled study. Catalonia, autonomous community located in north-eastern Spain. Individuals aged 35-74 years assigned to general practitioners of the Catalan Health Institute. The intervention group consisted of individuals whose general practitioners had accessed the computerized clinical practice guidelines at least twice a day, while the control group consisted of individuals whose general practitioner had never accessed the computerized clinical practice guidelines platform. The Chi-squared test was used to detect significant differences in the follow-up, control, and treatment variables for all three disorders (hypertension, hypercholesterolaemia, and type 2 diabetes mellitus) between individuals assigned to users and non-users of the computerized clinical practice guidelines, respectively. A total of 189,067 patients were included in this study, with a mean age of 56 years (standard deviation 12), and 55. 5% of whom were women. Significant differences were observed in hypertension management, treatment and control; type 2 diabetes mellitus management, treatment and diagnoses, and the management and control of hypercholesterolaemia in both sexes. Computerized clinical practice guidelines are an effective tool for the control and follow-up of patients diagnosed with hypertension, type 2 diabetes mellitus, and hypercholesterolaemia. The usefulness of computerized clinical practice guidelines to diagnose and adequately treat individuals with these disorders remains unclear.
Note: Número d'acord de subvenció AGAUR/483-13-2009
Note: Número d'acord de subvenció ISCIII/CP12-03287
Rights: Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades. Creative Commons
Language: Anglès
Document: article ; recerca ; publishedVersion
Subject: Clinical practice guidelines ; Electronic health records ; Evidence-based practice ; Hypertension ; Hypercholesterolemia ; Type 2 diabetes mellitus ; Guías de práctica clínica ; Historia clínica electrónica ; Práctica basada en la evidencia ; Hipertensión ; Hipercolesterolemia ; Diabetes mellitus tipo 2
Published in: Atencion Primaria, Vol. 49 (march 2017) , p. 389-398, ISSN 1578-1275

DOI: 10.1016/j.aprim.2016.11.007
PMID: 28314542


10 p, 660.3 KB

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Articles > Research articles
Articles > Published articles

 Record created 2020-01-20, last modified 2020-09-03



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