title: Effectiveness of a new health care organization model in primary care for chronic cardiovascular disease patients based on a multifactorial intervention: the PROPRESE randomized controlled trial.
abstract: BACKGROUND
  To evaluate the effectiveness of a new multifactorial intervention to improve health care for chronic ischemic heart disease patients in primary care. The strategy has two components: a) organizational for the patient/professional relationship and b) training for professionals.
  
  
  METHODS
  Experimental study. Randomized clinical trial. Follow-up period: one year.
  
  
  METHODS
  primary care, multicenter (15 health centers). For the intervention group 15 health centers are selected from those participating in ESCARVAL study. Once the center agreed to participate patients are randomly selected from the total amount of patients with ischemic heart disease registered in the electronic health records. For the control group a random sample of patients with ischemic heart disease is selected from all 72 health centers electronic records.
  
  
  CONCLUSIONS
  This study aims to evaluate the efficacy of a multifactorial intervention strategy involving patients with ischemic heart disease for the improvement of the degree of control of the cardiovascular risk factors and of the quality of life, number of visits, and number of hospitalizations.
  
  
  BACKGROUND
  NCT01826929.
authors.forename: Domingo
authors.initials: D
authors.lastname: Orozco-Beltran
authors.forename: Esther
authors.initials: E
authors.lastname: Ruescas-Escolano
authors.forename: Ana Isabel
authors.initials: AI
authors.lastname: Navarro-Palazón
authors.forename: Alberto
authors.initials: A
authors.lastname: Cordero
authors.forename: María
authors.initials: M
authors.lastname: Gaubert-Tortosa
authors.forename: Jorge
authors.initials: J
authors.lastname: Navarro-Perez
authors.forename: Concepción
authors.initials: C
authors.lastname: Carratalá-Munuera
authors.forename: Salvador
authors.initials: S
authors.lastname: Pertusa-Martínez
authors.forename: Enrique
authors.initials: E
authors.lastname: Soler-Bahilo
authors.forename: Francisco
authors.initials: F
authors.lastname: Brotons-Muntó
authors.forename: Jose
authors.initials: J
authors.lastname: Bort-Cubero
authors.forename: Miguel Angel
authors.initials: MA
authors.lastname: Nuñez-Martinez
authors.forename: Vicente
authors.initials: V
authors.lastname: Bertomeu-Martinez
authors.forename: Vicente Francisco
authors.initials: VF
authors.lastname: Gil-Guillen
mesh_terms: D002318:Cardiovascular Diseases / Q000628:therapy*; D002908:Chronic Disease / Q000628:therapy; D004502:Education, Medical, Continuing; D006801:Humans; D010817:Physician-Patient Relations; D011320:Primary Health Care / Q000379:methods* / Q000458:organization & administration; D016896:Treatment Outcome
references.citation: Eur J Public Health. 2006 Aug;16(4):361-7
references.pmid: 16230314
references.citation: Eur J Clin Nutr. 2003 Sep;57 Suppl 1:S18-21
references.pmid: 12947446
references.citation: BMC Public Health. 2010 Nov 22;10:717
references.pmid: 21092179
references.citation: Fam Pract. 2003 Feb;20(1):32-5
references.pmid: 12509367
references.citation: Rev Esp Cardiol. 2011 Jan;64(1):13-20
references.pmid: 21194823
references.citation: Rev Esp Cardiol (Engl Ed). 2012 Jun;65(6):544-50
references.pmid: 22520867
references.citation: Rev Clin Esp. 2009 Jun;209(6):279-302
references.pmid: 19635253
references.citation: Int J Cardiol. 2007 Jun 12;118(3):312-20
references.pmid: 17261336
references.citation: Fam Pract. 2013 Feb;30(1):56-63
references.pmid: 22904014
references.citation: Aten Primaria. 2008 Mar;40(3):139-44
references.pmid: 18373926
references.citation: Lancet. 2009 Mar 14;373(9667):929-40
references.pmid: 19286092
references.citation: BMJ. 2010 Aug 23;341:c3995
references.pmid: 20732968
references.citation: Blood Press. 2010 Feb;19(1):3-10
references.pmid: 19929287
references.citation: BMJ. 2009 Oct 29;339:b4220
references.pmid: 19875426
references.citation: Cochrane Database Syst Rev. 2010 Mar 17;(3):CD006772
references.pmid: 20238349
references.citation: JAMA. 2002 Oct 16;288(15):1909-14
references.pmid: 12377092
references.citation: BMC Health Serv Res. 2012 Jul 02;12:183
references.pmid: 22747998
references.citation: Eur Heart J. 2007 Oct;28(19):2375-414
references.pmid: 17726041
references.citation: Rev Esp Cardiol. 2008 Mar;61(3):317-21
references.pmid: 18361907
references.citation: Chronic Illn. 2008 Dec;4(4):247-56
references.pmid: 19091933
references.citation: Perm J. 2012 Winter;16(1):55-62
references.pmid: 22529761
references.citation: Drugs Aging. 2011 Dec 1;28(12):981-92
references.pmid: 22117096