Get Measuring General Practice : A Demonstration Project to PDF

By Martin N. Marshall

ISBN-10: 0833034251

ISBN-13: 9780833034250

The authors offers the main finished set of medical signs that experience ever been built to be used in united kingdom basic perform.

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Extra resources for Measuring General Practice : A Demonstration Project to Develop and Test a SEt of Primary Care Clinical Quality Indicators

Sample text

Personal history of peripheral vascular disease 2. diabetes 3. hyperlipidaemia 4. smoking status 5. alcohol consumption 5 Initial laboratory investigations should include the following tests within 3 months of diagnosis: 1. urine strip test for protein 2. serum creatinine and electrolytes 3. blood glucose 4. serum/total cholesterol 5. ECG Treatment and follow-up 6 Drug therapies should be offered in all patients with sustained (on more than 3 occasions) systolic BP >/= 160 mm Hg or sustained diastolic BP >/= 100 mm Hg despite up to six months of non-pharmacological measures, unless contraindicated or intolerant 7 Drug treatment is offered in patients with sustained (on more than 3 occasions) systolic BPs of 140-159 mm Hg or diastolic BPs 90-99 mm Hg if despite six months of non-pharmacological measures : 1.

This is precisely the type of judgement required for the purpose of assigning weights. In addition to clinical importance, weights may be used to adjust for the different frequency with which each indicator, or condition, occurs in entities that are being compared. Highly prevalent indicators can dominate summary scores, and it may be desirable to use weights to reduce this effect, irrespective of the clinical importance of the indicators, so that the summary scores reflect the performance of an entity with a standard population.

This is a rare problem in the management of acne, and not one to which GPs are likely to want to devote a great deal of time or effort. So the first and most important principle of using quality indicators in a contract or performance management setting is to use indicators where the potential health gain is great, and there are well founded evidence based management principles for achieving such gain. The managerial and clinical aims are then most likely to be aligned. Secondly, primary care trusts need to be aware that all the problems of collecting information on individual practices are compounded when information from different 59 MEASURING GENERAL PRACTICE practices is compared.

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Measuring General Practice : A Demonstration Project to Develop and Test a SEt of Primary Care Clinical Quality Indicators by Martin N. Marshall


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