European Practice Assessment of Cardiovascular risk management (EPA Cardio): protocol of an international observational study in primary care

Wensing, Michel; Ludt, Sabine; Campbell, Stephen; Lieshout, Jan van; Volbracht, Eckhard; Grol, Richard

doi:10.1186/1748-5908-4-3

Cited by 37 publications

(49 citation statements)

References 17 publications

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“…Its protocol is described in detail elsewhere (22). The ethical approval was obtained from the National committee on medical ethics (No.…”

Section: Methodsmentioning

confidence: 99%

“…The questionnaires were sent to them by post or given to them in person. All patients filled out the questionnaire, which is described elsewhere (22). For this analysis, we used demographic information, heath-service use behaviour, patients' assessment of the practice by Europep questionnaire, the patients' body mass index (BMI) and the number of chronic diseases.…”

Section: Data Collectionmentioning

confidence: 99%

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Evaluation of self-rated health – information on patients’ unmet needs?

Petek

Kersnik

2014

Slovenian Journal of Public Health

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“…Its protocol is described in detail elsewhere (22). The ethical approval was obtained from the National committee on medical ethics (No.…”

Section: Methodsmentioning

confidence: 99%

Section: Data Collectionmentioning

confidence: 99%

Evaluation of self-rated health – information on patients’ unmet needs?

Petek

Kersnik

2014

Slovenian Journal of Public Health

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“…ITM je bil najslabše urejen dejavnik tveganja tam, kjer je bilo povprečje na meji prekomerno težkih in debelih. (26). Glede na izsledke raziskave CINDI to ne predstavlja večjega odstopanja, vendar je v vzorcu bolnikov skoraj 30 % nekdanjih kadilcev, kar je pričakovano glede na to, da gre za visokoogrožene osebe.…”

Section: Urejenost Dejavnikov Tveganjaunclassified

Management of Cardiovascular Risk Factors in High Risk Patients: Correlates of Quality of Care

Petek¹,

Kersnik²

2013

Slovenian Journal of Public Health

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“…15 In this project, indicators for cardiovascular risk management were developed, instruments for the study were developed and piloted, and a large observational study was performed (Sludt et al, 2011, unpublished data). [16][17] Countries included were Austria, Belgium, England, Finland, France, Germany, Israel, the Netherlands, Slovenia, Spain, and Switzerland.…”

Section: Methodsmentioning

confidence: 99%

Primary care characteristics and population-orientated health care across Europe: an observational study

et al. 2011

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The number of patients with chronic diseases is increasing which poses a challenge to healthcare organisations. A proactive, structured, and populationorientated approach is needed: the chronic care model (CCM) provides such a framework. AimTo assess organisational conditions for providing structured chronic care according to the CCM across different healthcare systems. Design of studyInternational observational study. Setting MethodPractice questionnaires and interviews. Outcome measures were mean practice scores on CCM domains per country, as a percentage of the maximum score, and the influence of practice size and urbanisation on these scores. ResultsPractice size showed large differences with the largest practices in Spain, England, Finland, and Israel. These countries, with a strong primary care orientation, had most physicians and staff involved per practice. The CCM domains 'clinical information systems' and 'decision support' had total practice means of 90%; other domains scored about 50%. Spain and England scored above average on almost all domains. Practice size and urbanisation had little impact. ConclusionCharacteristics for chronic care delivery differed for most CCM domains. The most common characteristics related to computerisation, providing a good starting point and high potential everywhere. All countries showed room for improvement. Further research should focus on relations between practice characteristics, organisational features, including health system and primary care orientation, and outcomes. Primary care seems suited for chronic care delivery; however, a stronger primary care was associated with better scores. Keywordscross-sectional studies; family practice; health services research; long-term care; primary health care. INTRODUCTIONAgeing populations, effective health technologies, and poor lifestyle have contributed to the increasing number of patients with chronic diseases. Comprehensive and coordinated management of chronic disease is a major challenge for healthcare systems, covering the full range of health care from prevention and early diagnosis to treatment of established disease. A proactive, structured and population-orientated approach is needed, with important implications for the organisation of health care. Two widely accepted frameworks on the organisation of chronic care and prevention are the chronic care model (CCM), 1 and the patient-centred medical home (PCMH).2 In the CCM, outcomes of disease management are seen as the result of interaction between a proactive practice team and an active patient. The CCM seeks to coordinate activities J van Lieshout, MD, GP and researcher; M Wensing, senior researcher,

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European Practice Assessment of Cardiovascular risk management (EPA Cardio): protocol of an international observational study in primary care

Cited by 37 publications

References 17 publications

Evaluation of self-rated health – information on patients’ unmet needs?

Evaluation of self-rated health – information on patients’ unmet needs?

Management of Cardiovascular Risk Factors in High Risk Patients: Correlates of Quality of Care

Primary care characteristics and population-orientated health care across Europe: an observational study

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