[Impact on cardiovascular health results of the introduction of the clinical governance contract into primary care in Tarragona].
OBJECTIVE
The objectives of this study are: 1) to determine the improvement in the cardiovascular health of the population after the introduction of the clinical governance contract for primary care team professionals in Tarragona-Reus and the Terres de l'Ebre area (Tarragona province, Spain); 2) to identify the factors predictive of better cardiovascular health after the introduction of the clinical governance contract. The introduction of the clinical governance contract, which is based on professional leadership, feed-back of care information, and monitoring of indicators of cardiovascular risk based on scientific evidence and concretised in clinical practice guidelines, will improve the cardiovascular health results of the reference population. Improvements in indicators of procedure and result are specified in "Material and methods."


METHODS
This is a before-and-after, multi-centre study.


METHODS
Primary health care.


METHODS
Thirty health centres (all the primary care Centres in the area).


METHODS
Characteristics of the centre. Variables in procedures: indicators of good care practice, calculation of cardiovascular risk, application of clinical practice guidelines (hypertension, diabetes, lipaemia, tobacco and cardiovascular risk) and quality standards for drug prescription. Result variables: cardiovascular risk figures, number of ongoing care visits, hospital emergencies and admissions for angina, heart attack or stroke, and risk factor screenings of the population.


CONCLUSIONS
This study is useful, in that clinical governance aims to be a dynamic device to bring professionals into the leadership of health care management and, through monitoring indicators and feeding the findings back to the professionals, to improve health care quality. The study aims to show that management strategy can improve the population s cardiovascular health. The originality of the study lies in the development of a new tool of evaluation based on a novel management strategy for measuring cardiovascular health findings.
Bladé-Creixenti
J
J
Ambit d'Atenció Primària Tarragona-Terres de l'Ebre, Institut Català de la Salut, Spain. jblade.tarte.ics@gencat.net
Pascual-Moron
I
I
Gómez-Sorribes
A
A
Daniel-Diez
J
J
Piñol-Moreso
J L
JL
D000328:Adult; D000368:Aged; D002318:Cardiovascular Diseases / Q000517:prevention & control*; D006801:Humans; D008875:Middle Aged; D011320:Primary Health Care / Q000458:organization & administration*; D011785:Quality Assurance, Health Care; D013030:Spain