Computerized Guideline in Heart Failure: Implementation Process and Impact Evaluation

NCT00792402 | Completed DMC

• 1 other identifier: PI07/91020
• Study Type: observational
• Target: 13,008
• Locations: 1 country
• Sites: 1

Brief Summary

Objective: To assess the effectiveness of implementation process of an electronic Heart Failure guideline in primary care in the city of Barcelona.

Conditions

Chronic Heart Failure

Keywords

chronic heart failure; Computerized clinical guidelines; Primary care

Outcome Measures

Primary Outcomes (1)

• ACE/ARBs, ACE/ARBs+BB, hospitalisation rates, survival rate, reliability/ usability/applicability of computerised guideline, economic measurements

  2005 to 2007

Study Arms (2)

1 control group

Computerized data collection of outcome measures in usual care

2 intervention group

Computerized data collection of outcome measures and interviews to clinicians which are using a computerized Heart Failure guideline in their daily practice.

Eligibility Criteria

• Age: 30 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Setting: 20 general practices in Barcelona (intervention group),with an assigned population of 558515 inhabitants and Girona (control Group) with 23 general practices, and an assigned population of 480827.In 2007, the intervention region had a rate of 1499 patients per GP and from 16 to 52 thousand listed patients per practice with and average of attending rate of 68%, and the control region had a rate of 1558 patients per GP and from 4 to 47 thousand listed patients per practice with and average of attending rate of 76%. Subjects: Managers and general and nurse practitioners from Barcelona and Girona primary care practices included in the study. Patients with diagnoses related to Heart Failure.

You may qualify if:

• general and nurse primary care practitioners working in Barcelona and Girona for the Health Catalan Institute.
• Managers involved in implementation process for the computerised clinical guideline in Barcelona from the Health Catalan Institute.
• patients with diagnoses of Heart Failure according to ICD-10 according to general practice clinical records.

You may not qualify if:

• Managers and general and nurse primary care practitioners working in Barcelona health Centres where there were any other quality improvement project related to Heart failure at the time of the intervention which we are evaluating. Managers from the control group (Girona).
• patients with a mental health disorder or terminal illness

Sponsors & Collaborators

• Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina: lead
• Catalan Institute of Health: collaborator

Study Sites (1)

Unitat de Suport a la Recerca

Barcelona, 08006, Spain

Location

Study Officials

• Josep M Davins, MD, PhD

  Unitat de Suport a la Recerca, Barcelona, Spain

  PRINCIPAL INVESTIGATOR

• Eva Frigola, Masters

  Unitat de Suport a la Recerca, Barcelona, Spain

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 17, 2008
• First Posted: November 18, 2008
• Study Start: November 1, 2007
• Primary Completion: November 1, 2011
• Study Completion: November 1, 2011
• Last Updated: November 23, 2011

Record last verified: 2011-11

Locations

ES (1)