Date of this Version

12-17-2014

Document Type

Journal Article

Publication Details

Published Version

Patel, B., Patel, A., Jan, S., Usherwood, T., Harris, M., Panaretto.K., Zwar, N., Redfern J., Jansen, J., Doust, J, & Peiris, D. (2014). A multifaceted quality improvement intervention for CVD risk management in Australian primary healthcare: a protocol for a prcoess evaluation, Implementation Science, 9, 187.

Access the journal

© Copyright, The Authors, 2014

This work is licensed under a Creative Commons 4.0 License

NHMRC Project Grant 1010547

2014 HERDC Submission

ISSN

1748-5908

Abstract

Cardiovascular disease (CVD) is the leading cause of death and disability worldwide. Despite the widespread availability of evidence-based clinical guidelines and validated risk predication equations for prevention and management of CVD, their translation into routine practice is limited. We developed a multifaceted quality improvement intervention for CVD risk management which incorporates electronic decision support, patient risk communication tools, computerised audit and feedback tools, and monthly, peer-ranked performance feedback via a web portal. The intervention was implemented in a cluster randomised controlled trial in 60 primary healthcare services in Australia. Overall, there were improvements in risk factor recording and in prescribing of recommended treatments among under-treated individuals, but it is unclear how this intervention was used in practice and what factors promoted or hindered its use. This information is necessary to optimise intervention impact and maximally implement it in a post-trial context. In this study protocol, we outline our methods to conduct a theory-based, process evaluation of the intervention. Our aims are to understand how, why, and for whom the intervention produced the observed outcomes and to develop effective strategies for translation and dissemination.

Share

COinS
 

This document has been peer reviewed.

 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.