gms | German Medical Science

G-I-N Conference 2012

Guidelines International Network

22.08 - 25.08.2012, Berlin

Evidence-based guideline implementation within Primary Care Practices on Hypertension and Diabetes

Meeting Abstract

  • A. T. Stein - Grupo Hospitalar Conceicao, Porto Alegre, Brazil
  • S. A. Sirena - Grupo Hospitalar Conceicao, Porto Alegre, Brazil
  • C. S. Suarez - Grupo Hospitalar Conceicao, Porto Alegre, Brazil
  • L. Kopittke - Grupo Hospitalar Conceicao, Porto Alegre, Brazil
  • L. Lima - Grupo Hospitalar Conceicao, Porto Alegre, Brazil
  • J. Baldisserotto - Grupo Hospitalar Conceicao, Porto Alegre, Brazil
  • M. Diercks - Grupo Hospitalar Conceicao, Porto Alegre, Brazil
  • F. Nedel - Grupo Hospitalar Conceicao, Porto Alegre, Brazil

Guidelines International Network. G-I-N Conference 2012. Berlin, 22.-25.08.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. DocP174

DOI: 10.3205/12gin286, URN: urn:nbn:de:0183-12gin2861

Veröffentlicht: 10. Juli 2012

© 2012 Stein et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Background: The implementation of evidence-based guidelines (EBG) of diabetes and hypertension into the clinical practice of primary care teams is essential to achieve quality assurance in this setting.

Objectives: to undertake a literature review on the effectiveness of guideline implementation on hypertension and diabetes in a primary health care setting.

Methods: The MESh terms used in this review were: implementation, guideline, hypertension, diabetes and primary health care. MEDLINE, Cochrane Controlled Trial Register, EMBASE, and the specialized register of the Cochrane Effective Practice and Organization of Care (EPOC) group were used as data sources. Separate analyses were undertaken for comparisons of different types of intervention.

Results: There are four types of strategies for implementing an evidence-based guideline in hypertension and diabetes: (1) educational training; (2) internal or external audit, including feedback reports on performance and peer review; (3) Information Communication Technology devices, such as computer-based reminders, phone-call reminders and SMS reminders; (4) combination among the different kind of interventions. These approaches have been reviewed and have shown that there is a need to integrate more than one strategy to control hypertension and diabetes in a primary care setting.

Discussion: The implementation of EBG instruments is likely to improve the process of care in diabetes and hypertension, rather than patient outcomes.

Implication for guidelines developers/users: Decision-makers need to integrate several approaches on the management of hypertension and diabetes in order to achieve clinical effectiveness activities to maximize population benefits.