Computerized medical records in monitoring hypertension. Longitudinal and horizontal evaluation of 25 general practitioners in a primary care setting of Modena, Italy

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 t...

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Bibliographic Details
Published in:Recenti progressi in medicina Vol. 100; no. 1; p. 4
Main Authors: Perrone, Enrica, Padula, Maria Stella, Scarpa, Marina, Acerbi, Maria Angela, Andreoli, Claudio, Baldoni, Patrizia, Bannò, Gabriella, Bregoli, Renato, Campolieti, Manfredo, Cataldo, Nicola, Daya, Ghassan, D'Urso, Anna Rita, Feltri, Gaetano, Gualandrini, Alessandra, Lambertini, Giorgio, Mazzi, Wainer, Modafferi, Gino Paolo, Mussati, Pierpaolo, Onesti, Luca, Piancone, Cataldo, Pieralisi, Fernando, Poppi, Maria Cristina, Scaglioni, Alberto, Tsoutsis, Nycolaos, Turrini, Stefano, Viola, Elisabetta, Capelli, Oreste
Format: Journal Article
Language:Italian
Published: Italy 01-01-2009
Subjects:
Adult
Aged
Aged, 80 and over
Blood Pressure Monitoring, Ambulatory
Clinical Audit
Diabetes Complications
Female
Humans
Hypertension - diagnosis
Hypertension - prevention & control
Hypertension - therapy
Italy
Male
Medical Records Systems, Computerized
Middle Aged
Primary Health Care
Retrospective Studies
Risk Factors
Italy
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Summary: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.
ISSN:0034-1193