title: [Computerized medical records in monitoring hypertension. Longitudinal and horizontal evaluation of 25 general practitioners in a primary care setting of Modena, Italy].
abstract: This study aims at evaluating the effectiveness of a computerized-based Clinical Record in monitoring hypertension in a Primary Care Setting. Blood pressure (BP) recording increased by 62% to 70% in the years 2004 to 2006. No improvement, however, was noticeable in the achievement of gold-standard targets in BP control (62% in all period). At the end of 2006 BP was recorded in 65% of patients. Among them, 2/3 of the non diabetics reached < 140/90 mmHg standard, while only 23% of diabetics reached < 130/80 mmHg standard. In conclusion, using a computerized clinical record appears not to be sufficient to obtain good clinical performances, yet it is a necessary first step to clinical audit.
authors.affiliation: CeVEAS (Centro Valutazione Efficacia Assistenza Sanitaria), AUSL Modena.
authors.forename: Enrica
authors.initials: E
authors.lastname: Perrone
authors.forename: Maria Stella
authors.initials: MS
authors.lastname: Padula
authors.forename: Marina
authors.initials: M
authors.lastname: Scarpa
authors.forename: Maria Angela
authors.initials: MA
authors.lastname: Acerbi
authors.forename: Claudio
authors.initials: C
authors.lastname: Andreoli
authors.forename: Patrizia
authors.initials: P
authors.lastname: Baldoni
authors.forename: Gabriella
authors.initials: G
authors.lastname: Bannò
authors.forename: Renato
authors.initials: R
authors.lastname: Bregoli
authors.forename: Manfredo
authors.initials: M
authors.lastname: Campolieti
authors.forename: Nicola
authors.initials: N
authors.lastname: Cataldo
authors.forename: Ghassan
authors.initials: G
authors.lastname: Daya
authors.forename: Anna Rita
authors.initials: AR
authors.lastname: D'Urso
authors.forename: Gaetano
authors.initials: G
authors.lastname: Feltri
authors.forename: Alessandra
authors.initials: A
authors.lastname: Gualandrini
authors.forename: Giorgio
authors.initials: G
authors.lastname: Lambertini
authors.forename: Wainer
authors.initials: W
authors.lastname: Mazzi
authors.forename: Gino Paolo
authors.initials: GP
authors.lastname: Modafferi
authors.forename: Pierpaolo
authors.initials: P
authors.lastname: Mussati
authors.forename: Luca
authors.initials: L
authors.lastname: Onesti
authors.forename: Cataldo
authors.initials: C
authors.lastname: Piancone
authors.forename: Fernando
authors.initials: F
authors.lastname: Pieralisi
authors.forename: Maria Cristina
authors.initials: MC
authors.lastname: Poppi
authors.forename: Alberto
authors.initials: A
authors.lastname: Scaglioni
authors.forename: Nycolaos
authors.initials: N
authors.lastname: Tsoutsis
authors.forename: Stefano
authors.initials: S
authors.lastname: Turrini
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Viola
authors.forename: Oreste
authors.initials: O
authors.lastname: Capelli
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D018660:Blood Pressure Monitoring, Ambulatory; D054869:Clinical Audit; D048909:Diabetes Complications; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000517:prevention & control / Q000628:therapy*; D007558:Italy; D008297:Male; D016347:Medical Records Systems, Computerized; D008875:Middle Aged; D011320:Primary Health Care; D012189:Retrospective Studies; D012307:Risk Factors