Facilitating as a guidelines implementation tool to target resources for high risk patients - the Helsinki Prevention Programme (HPP)

Journal of Interprofessional Care
Raija SipiläEsko Kumpusalo

Abstract

Interprofessional care may provide some answers to the challenge of scarce healthcare resources, through the utilization of the expertise of various professionals to improve evidence-based care. This was a two-year programme in primary care, where doctor and nurse pairs acted as intrinsic facilitators creating and implementing local guidelines and encouraging multiprofessional teamwork. The effect of implementation was studied by auditing professional opinion change, blood pressure, serum lipid and HbA1C levels. After one year, 20 health stations reported improvement in treatment practices of hypertension and the division of tasks across team members, and seven and eight health stations reported improvement in treatment of diabetes and dyslipidemia. After two years, the corresponding figures were 29, 25 and 22, respectively. Active guidance to home measurements increased from 90% to 100% and every health station identified a dedicated area for patient self-measurement. At baseline, in poor control were 17% of blood pressure measurements, and 31% of diabetic and 71% of dyslipidemic patients. At follow-up, the corresponding figures were 22%, 34% and 64%, respectively. Multiprofessional facilitation and learning proved to be effec...Continue Reading

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Citations

Feb 24, 2015·Journal of Interprofessional Care·David LawrenceMamta K Singh
Feb 26, 2010·Worldviews on Evidence-based Nursing·Elizabeth J DoghertyIan D Graham
Apr 22, 2015·Implementation Science : IS·Anna R GagliardiUNKNOWN members of Guidelines International Network Implementation Working Group

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