PMID: 20631261Jul 16, 2010Paper

Quality indicators for the prevention of cardiovascular disease in primary care.

Canadian Family Physician Médecin De Famille Canadien
Jessica HopkinsLisa Dolovich

Abstract

To determine the feasibility and usefulness of collecting 9 previously described quality indicators of cardiovascular disease (CVD) prevention in primary care. Retrospective chart audit. Family health team in Hamilton, Ont, comprising approximately 30 000 patients and 25 physicians over 2 sites. A random sample of community-dwelling men who were 40 to 80 years of age and women who were 50 to 80 years of age on January 1, 2003, and who had complete physical examinations in 2003. The frequency with which quality indicators were collected during the complete physical examination, whether the collection of these indicators predicted subsequent collection of the same indicators, and physician or patient behavioural changes to reduce the risk of CVD. Of the 237 patient charts reviewed, 142 were of men and 95 were of women. Collection of most of the quality indicators was high (> 50%). Results were adjusted for age, sex, and family health team site. Measurements to check for obesity were collected more frequently in women, while blood pressure measurements and follow-up when required were completed more frequently in men. The relationship between the collection of an indicator and the subsequent times the same indicator was collected ...Continue Reading

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