PMID: 16640135Apr 28, 2006Paper

The effect of a primary care intervention on management of patients with diabetes and hypertension: a pre-post intervention chart audit

Healthcare Quarterly
Linda GrahamLynn Edwards

Abstract

A principal goal in enhancing primary care in Canada is to increase emphasis on health promotion, disease prevention and the management of chronic diseases in the primary care setting. To achieve this goal in Nova Scotia, collaborative practice teams with a nurse practitioner and at least one physician were established, and both alternative funding arrangements for physicians and an information system were implemented. This study reports on the impact of this primary healthcare reform initiative on the quality of process-of-care, self-care and proxy measures for specific health outcomes for patients with diabetes and hypertension. A pre- (April 1, 1999-March 31, 2000) post- (April 1, 2001-March 31, 2002) intervention audit of consenting patients was conducted at the four sites participating in the Strengthening Primary Care Initiative. Two hundred and eleven charts of patients with diabetes and 541 charts of patients with hypertension were audited. Process-of-care, targeted health outcomes, patient education and self-care items were measured for patients with diabetes. Process-of-care and outcome measures related to clinical management, blood pressure, lifestyle modifications and laboratory investigations were measured for pati...Continue Reading

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