ArticleBMC health services research2011
Development and pilot of an internationally standardized measure of cardiovascular risk management in European primary care.
Article in BMC health services research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 15 citations in OpenAlex.
- Tailored implementation of cardiovascular risk management in general practice: a cluster randomized trial.Implementation science : IS · 2016Trial
- Patient-reported continuity of care and the association with patient experience of cardiovascular prevention: an observational study in Germany.BMC primary care · 2022Observational
- Physician awareness of knee and hip pain in the context of coronary heart disease treatment.TheScientificWorldJournal · 2014Article
- Which practice characteristics are associated with the quality of cardiovascular disease prevention in European primary care?Implementation science : IS · 2013Article
- Cardiovascular risk management in patients with coronary heart disease in primary care: variation across countries and practices. An observational study based on quality indicators.BMC family practice · 2012Article
- Identifying factors associated with experiences of coronary heart disease patients receiving structured chronic care and counselling in European primary care.BMC health services research · 2012Article
- What components of chronic care organisation relate to better primary care for coronary heart disease patients? An observational study.BMJ open · 2012Article
- Predictors of health-related quality of life in patients at risk for cardiovascular disease in European primary care.PloS one · 2011Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrimary care can play an important role in providing cardiovascular risk management in patients with established Cardiovascular Diseases (CVD), patients with a known high risk of developing CVD, and potentially for individuals with a low risk of developing CVD, but who have unhealthy lifestyles. To describe and compare cardiovascular risk management, internationally valid quality indicators and standardized measures are needed. As part of a large project in 9 European countries (EPA-Cardio), we have developed and tested a set of standardized measures, linked to previously developed quality indicators.
methodsA structured stepwise procedure was followed to develop measures. First, the research team allocated 106 validated quality indicators to one of the three target populations (established CVD, at high risk, at low risk) and to different data-collection methods (data abstraction from the medical records, a patient survey, an interview with lead practice GP/a practice survey). Secondly, we selected a number of other validated measures to enrich the assessment. A pilot study was performed to test the feasibility. Finally, we revised the measures based on the findings.
resultsThe EPA-Cardio measures consisted of abstraction forms from the medical-records data of established Coronary Heart Disease (CHD)-patients--and high-risk groups, a patient questionnaire for each of the 3 groups, an interview questionnaire for the lead GP and a questionnaire for practice teams. The measures were feasible and accepted by general practices from different countries.
conclusionsAn internationally standardized measure of cardiovascular risk management, linked to validated quality indicators and tested for feasibility in general practice, is now available. Careful development and pilot testing of the measures are crucial in international studies of quality of healthcare.
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