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Management of Cardiovascular Risk Factors in High Risk Patients: Correlates of Quality of Care

Zdravstveno varstvo, 2013-10, Vol.52 (4), p.263 [Peer Reviewed Journal]

Copyright De Gruyter Open Sp. z o.o. 2013 ;ISSN: 0351-0026 ;EISSN: 1854-2476 ;DOI: 10.2478/sjph-2013-0027

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  • Title:
    Management of Cardiovascular Risk Factors in High Risk Patients: Correlates of Quality of Care
  • Author: Petek, Davorina ; Kersnik, Janko
  • Subjects: Cardiovascular disease ; Disease prevention ; Quality of care ; Risk factors ; Studies
  • Is Part Of: Zdravstveno varstvo, 2013-10, Vol.52 (4), p.263
  • Description: Background: In most European countries, cardiovascular diseases (CVD) are still the leading cause of mortality. Preventing them is an important task of primary care. Assessment of risk factors and preventive activities are especially important for patients at high risk for CVD. Moreover, it is important to know effect factors that influence the successfulness of prevention. Methods: A cross-sectional study of a stratified random sample of 36 practices. Each practice included 30 high risk patients from the register. Data on patient characteristics (life-style, quality of life, self-assessment of health, use of health services, state of risk factors) and practice characteristics (practice load, cooperation in quality projects, education, information technology, preventive practice) were collected by questionnaire for patients, physicians and audit of medical record. Results: 871 patients from 36 practices participated (80.6% response rate), mean age was 62.4 years (SD±8.6).22.4% were smokers, adequate level of aerobic physical activity was implemented by 330 (48.8%) participants, the least regulated was body mass index (29.3kg/m2). All variables (practice, patient, doctor characteristics) together significantly predicted regulation of risk factors (p<0.005, F=2.7, R2 =0.087). Independent variables of better-regulated risk factors were female gender, higher education, higher age of the patient, information system and organization of cardiovascular prevention and physician's professional activity. Conclusions: Good regulation of risk factors is mostly dependent on practice characteristics, especially on organization of prevention and doctor's professional activity. Some patient characteristics are important as well and besides that other characteristics not included in the model seem to be important also.
  • Publisher: Ljubljana: De Gruyter Poland
  • Language: English;Slovenian
  • Identifier: ISSN: 0351-0026
    EISSN: 1854-2476
    DOI: 10.2478/sjph-2013-0027
  • Source: AUTh Library subscriptions: ProQuest Central
    De Gruyter Open Access Journals
    DOAJ Directory of Open Access Journals
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