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Автор Tabenkin, H
Автор Steinmetz, D
Автор Eilat, Z
Автор Heman, H
Автор Dagan, B
Автор Epstein, L
Дата выпуска 1995
dc.description We introduced and evaluated a self-audit and peer review programme for the management of hypertension in eight urban and rural family medicine practices in northern Israel between January 1991 and December 1992. Changes in the level of blood pressure control and the effect of peer review and self-audit on physicians' management of hypertension were evaluated. Participating physicians were provided with feedback throughout the course of the study. Six hundred and seventy-four hypertensive patients from a total adult population of 4445 patients (15%) were identified in eight practices and followed for two years. The percentage of uncontrolled hypertensives (blood pressure ≥ 160/95 mmHg) decreased from 46.8% at the beginning of the study to 34.3% at its conclusion (P = 0.01). Data on prevalence of hypertension were analysed by participating clinics (prevalence range 8.5–24.6%) and by type of community (rural or urban). In rural communities 50% of the hypertensives were 70 years of age, com pared with 39.5% in the urban practices. Differences in prescribing practices among participating physicians were discussed during peer review group meetings and changes in prescribed medications for hypertension were evaluated. We conclude that this method of self-audit and peer review is effective in improving the management of patients with hypertension in family medicine practices. It was implemented at a minimal cost, is feasible in busy practices and can be generalized to the management of other chronic diseases in the community.
Формат application.pdf
Издатель Oxford University Press
Копирайт © Oxford University Press
Тема Original articles
Название A peer review programme to audit the management of hypertensive patients in family practices in Israel
Тип research-article
Electronic ISSN 1460-2229
Print ISSN 0263-2136
Журнал Family Practice
Том 12
Первая страница 309
Последняя страница 312
Аффилиация Family Medicine Department, Kupat Holim Northern District and Central Emek HospitalAfula, Israel
Выпуск 3

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