Evidence map›Paper›PMID 26088560›Full record

ArticleBMC family practice2015

Evaluation of the quality of care of a multi-disciplinary Risk Factor Assessment and Management Programme for Hypertension (RAMP-HT).

Esther Yee Tak Yu, Eric Yuk Fai Wan, Karina Hiu Yen Chan, Carlos King Ho Wong, Ruby Lai Ping Kwok, Daniel Yee Tak Fong, Cindy Lo Kuen Lam

Registry-linked trialAbstract read
In one paragraph

Article in BMC family practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02219958 (Evaluation of Quality of Care - Multi-disciplinary Risk Assessment and Management Programme for Patients With Hypertension, HA), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02219958 completednot on this map

Evaluation of Quality of Care - Multi-disciplinary Risk Assessment and Management Programme for Patients With Hypertension, HA (QoC RAMP-HT)

TypeobservationalSponsorThe University of Hong KongRan2012 to 2017Enrolled2,496ConditionsHypertension
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Esther Yee Tak YuDepartment of Family Medicine and Primary Care, The University of Hong Kong, Ap Lei Chau, Hong Kong. ytyu@hku.hk.
Eric Yuk Fai WanDepartment of Family Medicine and Primary Care, The University of Hong Kong, Ap Lei Chau, Hong Kong. yfwan@hku.hk.
Karina Hiu Yen ChanDepartment of Family Medicine and Primary Care, The University of Hong Kong, Ap Lei Chau, Hong Kong. khychan4@hku.hk.
Carlos King Ho WongDepartment of Family Medicine and Primary Care, The University of Hong Kong, Ap Lei Chau, Hong Kong. carlosho@hku.hk.
Ruby Lai Ping KwokPrimary and Community Services Department, Hospital Authority Head Office, Hong Kong Hospital Authority, Kowloon, Hong Kong. kwoklp@ha.org.hk.
Daniel Yee Tak FongSchool of Nursing, The University of Hong Kong, Pokfulam, Hong Kong. dytfong@hku.hk.
Cindy Lo Kuen LamDepartment of Family Medicine and Primary Care, The University of Hong Kong, Ap Lei Chau, Hong Kong. clklam@hku.hk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is some evidence to support a risk-stratified, multi-disciplinary approach to manage patients with hypertension in primary care. The aim of this study is to evaluate the quality of care (QOC) of a multi-disciplinary Risk Assessment and Management Programme for Hypertension (RAMP-HT) for hypertensive patients in busy government-funded primary care clinics in Hong Kong. The objectives are to develop an evidence-based, structured and comprehensive evaluation framework on quality of care, to enhance the QOC of the RAMP-HT through an audit spiral of two evaluation cycles and to determine the effectiveness of the programme in reducing cardiovascular disease (CVD) risk. METHOD/

designA longitudinal study is conducted using the Action Learning and Audit Spiral methodologies to measure whether pre-set target standards of care intended by the RAMP-HT are achieved. A structured evaluation framework on the quality of structure, process and outcomes of care has been developed based on the programme objectives and literature review in collaboration with the programme workgroup and health service providers. Each participating clinic is invited to complete a structure of care evaluation questionnaire in each evaluation cycle. The data of all patients who have enrolled into the RAMP-HT in the pre-defined evaluation periods are used for the evaluation of the process and outcomes of care in each evaluation cycle. For evaluation of the effectiveness of RAMP-HT, the primary outcomes including blood pressure (both systolic and diastolic), low-density lipoprotein cholesterol and estimated 10-year CVD risk of RAMP-HT participants are compared to those of hypertensive patients in usual care without RAMP-HT. DISCUSSION: The QOC and effectiveness of the RAMP-HT in improving clinical and patient-reported outcomes for patients with hypertension in normal primary care will be determined. Possible areas for quality enhancement and standards of good practice will be established to inform service planning and policy decision making.

Indexed as

HypertensionPatient Care ManagementPrimary Health CareAdultAgedFemaleHong KongHumansLongitudinal StudiesMaleMiddle AgedOutcome and Process Assessment, Health CarePatient Care TeamPatient PreferenceProgram EvaluationQuality of Health Care

Identifiers

PMID26088560
PMCPMC4471929

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.