[Computerized medical records in monitoring hypertension. Longitudinal and horizontal evaluation of 25 general practitioners in a primary care setting of Modena, Italy].
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.
Perrone
Enrica
E
CeVEAS (Centro Valutazione Efficacia Assistenza Sanitaria), AUSL Modena.
Padula
Maria Stella
MS
Scarpa
Marina
M
Acerbi
Maria Angela
MA
Andreoli
Claudio
C
Baldoni
Patrizia
P
Bannò
Gabriella
G
Bregoli
Renato
R
Campolieti
Manfredo
M
Cataldo
Nicola
N
Daya
Ghassan
G
D'Urso
Anna Rita
AR
Feltri
Gaetano
G
Gualandrini
Alessandra
A
Lambertini
Giorgio
G
Mazzi
Wainer
W
Modafferi
Gino Paolo
GP
Mussati
Pierpaolo
P
Onesti
Luca
L
Piancone
Cataldo
C
Pieralisi
Fernando
F
Poppi
Maria Cristina
MC
Scaglioni
Alberto
A
Tsoutsis
Nycolaos
N
Turrini
Stefano
S
Viola
Elisabetta
E
Capelli
Oreste
O
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