A programme to improve quality of care for patients with chronic diseases, Kazakhstan

Bulletin of the World Health Organization
Benjamin Tb ChanGulnara Kulkaeva

Abstract

To evaluate the effect of a disease management programme in Kazakhstan on quality indicators for patients with hypertension, diabetes and chronic heart failure. A supportive, interdisciplinary, quality improvement programme was implemented between November 2014 and November 2015 at seven polyclinics in Pavlodar and Petropavlovsk. Quality improvement teams were established at each clinic and quality improvement tools were introduced, including patient flowsheets, decision support tools, patient registries, a patient recall process, support for patient self-management and patient follow-up with intensity adjusted for level of disease control. Clinic teams met for four 3-day interactive learning sessions within 1 year, with additional coaching visits. Implementation was managed by five local coordinators and consultants trained by international consultants. National and regional steering committees monitored progress. Between July and October 2015, the proportion of hypertensive patients with the recommended blood pressure increased from 24% (101/424) to 56% (228/409). Among patients with diabetes, the proportion who recently underwent eye examinations increased from 26% (101/391) to 71% (308/433); the proportion who had their low...Continue Reading

References

Mar 3, 2007·The New England Journal of Medicine·Bruce E LandonEdward Guadagnoli
Nov 18, 2008·International Journal of Nursing Studies·Samantha Coster, Ian Norman
Jan 7, 2009·Health Affairs·Katie ColemanEdward H Wagner
Mar 27, 2012·Journal of Epidemiology and Community Health·Bayard RobertsMartin McKee
Sep 10, 2018·The Lancet Global Health·Margaret E KrukMuhammad Pate
Dec 7, 2018·Bulletin of the World Health Organization·Shamsuzzoha B SyedEdward Kelley

❮ Previous
Next ❯

Software Mentioned

Excel

Related Concepts

Related Feeds

ApoE, Lipids & Cholesterol

Serum cholesterol, triglycerides, apolipoprotein B (APOB)-containing lipoproteins (very low-density lipoprotein (VLDL), immediate-density lipoprotein (IDL), and low-density lipoprotein (LDL), lipoprotein A (LPA)) and the total cholesterol/high-density lipoprotein (HDL) cholesterol ratio are all connected in diseases. Here is the latest research.