Expert assessment of outpatient health care quality in hypertensive patients in a big city
https://doi.org/10.18705/1607-419X-2016-22-1-103-112
Abstract
We present the data based on the Registry of hypertensive patients including the results of the expert assessment of the health care in 1539 hypertensive patients. The clinical indicators were evaluated in accordance with the National guidelines on the prevention, diagnosis and management of arterial hypertension.
Objective. To perform an expert assessment of out-patient medical care quality in hypertensive patients based on the automated information and analytical system “Registry of Hypertension”.
Design and methods. Medical data of 1539 hypertensive patients examined in 2004–2010 were analyzed. Special software (Web-based Registry of Hypertension) produced by Moscow Cardio logical, Scientific and Clinical Centre and Saratov Research Institute of Cardiology was used. It allows continuous data entry and analysis.
Results. There is a positive dynamics by improving the quality control of health care in 1539 patients with risk factors and arterial hypertension.
Conclusion. Technology “Registry of Hypertension” can be used in treatment and prevention measures in order to perform an expert assessment and improve the quality of health care in hypertensive patients.
About the Authors
N. A. Paskar
V. A. Almazov Federal North-West Medical Research Centre
Russian Federation
Russian Federation
MD, PhD, Head, Research Laboratory of Health Care System,
2 Akkuratov street, St Petersburg, 197341
A. O. Nedoshivin
V. A. Almazov Federal North-West Medical Research Centre
MD, PhD, DSC, Professor, Academic Secretary
MD, PhD, DSC, Professor, Academic Secretary
References
1. Evstifeeva SE, Oshchepkova EV, Gridnev VI, Dovgalevsky PYa. An innovative method of quality control of medical care in patients with arterial hypertension in primary health care system. Zdravookhranenye Rosssiiskoy Federatsii = Health Care System of Russian Federation. 2009;6:17–24. In Russian.
2. Prevention, diagnosis and treatment of hypertension. National Guidelines of the Russian Scientific Society of Cardiology (second revision). Moscow, 2004. 19 p. In Russian.
3. Schal′nova SA, Deyev AD. Factors influencing on mortality from cardiovascular diseases in the population in Russia. Kardiovaskulyarnya Terapiya i Profilaktika = Cardiovascular Therapy and Prevention. 2005;4(1):4–6. In Russian.
4. Oganov RG, Maslennikova GYa. Successes and failures of cardiovascular prevention. Kardiovaskulyarnya Terapiya i Profilaktika = Cardiovascular Therapy and Prevention. 2014;13(1):4–7. In Russian.
5. European guidelines on cardiovascular disease prevention in clinical practice. Third joint Task Force of European and other societies on cardiovascular disease prevention in clinical practice. Eur Heart J. 2003;24 (17):1601–1619.
6. Kelly T, Yang W, Chen CS, Reynolds K, He J. Cibola burden of obesity in 2005 and projections to 2030. Int J Obes. 2008;32(9):1431–1437.
7. Salamatina LV, Zorina LS, Tokarev SA. Factor analysis and individual prognosis for the patients with first revealed arterial hypertension. Russian Journal of Cardiology. 2014;6(110):19–23. In Russian.
8. National clinical guidelines 2th ed. Мoscow: Silicea-Polygraf; 2009. 291–328 p. In Russian.
9. Diagnostics and treatment of arterial hypertension. National Guidelines of Russian Federation (third revision). Kardiovaskulyarnya Terapiya i Profilaktika = Cardiovascular Therapy and Prevention 2008; 7(6): Enc. 2. In Russian.
10. Diagnosis and treatment of arterial hypertension. National guidelines of Russian Medical Society of Arterial Hypertension and Russian Scientific Society of Cardiology. Systemic Hypertensions. 2010;3:5–26. In Russian.
11. Gridnev VI, Posnenkova OM, Kotelnikova EV, Kiselev AR, Dovgalevskiy PY. The Register of an Arterial Hypertension program — new approach to an assessment of quality of medical care to patients with an arterial hypertension. Cardiovascular Therapy and Prevention. 2005;4(1):90–91. In Russian.
12. Management of hypertension in adults in primary care. Published by the National Institute of Health and Clinical Excellence. June 2006.
13. Paskar NA. Indicators of quality of medical assistance for patients with arterial hypertension. Arterial’naya Gipertenziya = Arterial Hypertension. 2009;15(5):571–574. In Russian.
14. Oshchepkova EV, Lazareva NV, Balygin MM, Gridnev VI, Dovgalevsky PYa. Monitoring of activities on the prevention and treatment of arterial hypertension and its complications. Zdravookhranenye Rosssiiskoy Federatsii = Health Care System of Russian Federation. 2011; 2:7–11. In Russian.
15. Shwartz VA, Gridnev VI, Kiselev AR, Posnenkova OM. Clinical effectiveness of dynamic out-patient control technology over hypertensive patients based on computer system and mobile phone connection. Saratov Scientific Journal of Medical Research. 2009;5(3):358–362. In Russian.
Review
For citations:
Paskar N.A., Nedoshivin A.O. Expert assessment of outpatient health care quality in hypertensive patients in a big city. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2016;22(1):103-112. https://doi.org/10.18705/1607-419X-2016-22-1-103-112
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