Patients with a 10 years risk for cardiovascular disease of 20% or more and patients with established cardiovascular disease, who are (probably)not treated according to (evidence based)practice guideline recommendations. Cardiovascular disease, Cardiovascular risk management (CVRM), Audit and feedback, Implementation, Primary care, Quality of Care, Quality improvement
Conditions
Interventions
All practices receive feedback on practice level comparing recipients practice with median performance of all participants. The intervention group also receives feedback on a patient specific level .
Sponsors
Zorggroep Arnhem
Eligibility
Inclusion criteria
Inclusion criteria: At practice level: General practices who are contracted by care group in Arnhem for CVRM for more than 21 months. At patient level: 1) patients on simvastatin treatment with a LDL cholesterol level > 2.5mmol/L 2) patients with a history of stroke on acetylsalicylic acid or carbasalate calcium anticoagulance monotherapy . 3) patients aged 70 and older, without established cardiovascular disease and without chronic heart failure treated with 3 or more antihypertensive drugs. 4) patients with chronic kidney disease and eGFR < 45 ml/min who did not take additional laboratory tests (PTH, Hb, calcium, phosphate). 5) patients with a diastolic blood pressure lower than 70mmHg. 6) patients with established cardiovascular disease not on anticoagulant therapy.
Exclusion criteria
Exclusion criteria: None
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| mean difference between intervention group and control group for each indicator score. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1)Mean difference between intervention group and control group for the total of indicator scores. 2)Reported experiences of general practices (in the intervention group) who worked with the patient specific feedback. 3) Percentage of patients who did not get a change in treatment regardless the specific feedback. 4) Arguments for choice concerning 3) | — |
Contacts
Public ContactK.M. Jakobs
Outcome results
None listed