Computerized Guideline in Heart Failure: Implementation Process and Impact Evaluation

Implementation Process and Impact of the Heart Failure Electronic Clinical Guideline in the Catalan Health Institute Primary Care Health Board

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT00792402

Enrollment

13008

Registered

2008-11-18

Start date

2007-11-30

Completion date

2011-11-30

Last updated

2011-11-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic Heart Failure

Keywords

chronic heart failure, Computerized clinical guidelines, Primary care

Brief summary

Objective: To assess the effectiveness of implementation process of an electronic Heart Failure guideline in primary care in the city of Barcelona.

Detailed description

Design: Two types of design will be applied, according to the specific aims. On the one hand it is a cross-sectional and a qualitative study, on the other hand it is quasi-experimental study. Pre-post intervention with a control group, as well as, of repeated measures in the intervention group

Interventions

None listed

Study design

Observational model

CASE_CONTROL

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

30 Years to No maximum

Healthy volunteers

Inclusion criteria

* general and nurse primary care practitioners working in Barcelona and Girona for the Health Catalan Institute. * Managers involved in implementation process for the computerised clinical guideline in Barcelona from the Health Catalan Institute. * patients with diagnoses of Heart Failure according to ICD-10 according to general practice clinical records.

Exclusion criteria

* Managers and general and nurse primary care practitioners working in Barcelona health Centres where there were any other quality improvement project related to Heart failure at the time of the intervention which we are evaluating. Managers from the control group (Girona). * patients with a mental health disorder or terminal illness

Design outcomes

Primary

Measure	Time frame
ACE/ARBs, ACE/ARBs+BB, hospitalisation rates, survival rate, reliability/ usability/applicability of computerised guideline, economic measurements	2005 to 2007

Countries

Spain

Outcome results