Document Detail


Audit of hypertension in general practice.
MedLine Citation:
PMID:  16570710     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An audit of hypertension management was done in October 2004 in nine general practice (GP) clinics. Two structure, ten process and two outcome indicators were assessed. Results showed that targets were achieved in only four indicators, i.e., weight recording (89%), BP monitoring (85.8%), follow-up interval not exceeding 6 months (87.9%) and mean diastolic BP (73.9%). The other indicators (hypertension registry, reminder mechanisms for defaulters, recording of smoking, height, fundoscopy, monitoring of lipid profile, blood sugar, ECG, renal function and achievement of target mean systolic pressure) showed adequacy percentages varying from 22.1 to 68.7. Out of the 1260 patients assessed, 743 (59%) achieved a mean BP < or = 140/90 (or < or = 130/80 mmHg with diabetes mellitus / renal insufficiency) in the last 3 recorded readings. There was a vast difference between individual clinics. Reasons for not achieving targets were discussed and remedial measures for implementation were recommended.
Authors:
S C Chan; T Chandramani; T Y Chen; K N Chong; S Harbaksh; T W Lee; H G Lin; A Sheikh; C W Tan; L C Teoh
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Medical journal of Malaysia     Volume:  60     ISSN:  0300-5283     ISO Abbreviation:  Med. J. Malaysia     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2006-03-30     Completed Date:  2006-05-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0361547     Medline TA:  Med J Malaysia     Country:  Malaysia    
Other Details:
Languages:  eng     Pagination:  475-82     Citation Subset:  IM    
Affiliation:
Department of Primary Care and Public Health, Royal College of Medicine Perak, Ipoh.
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MeSH Terms
Descriptor/Qualifier:
Family Practice / standards*
Humans
Hypertension / prevention & control*
Malaysia
Medical Audit*
Outcome and Process Assessment (Health Care)
Physician-Patient Relations*
Quality Indicators, Health Care

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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