Hypertension in General Practice

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• Hypertension in General Practice an APO-audit
• Jens Damsgaard
• Peter Schultz-Larsen, Lene Reuther, Lars Poulsen,
  Dorte Gilså Hansen Jens Søndergaard, Morten
  Andersen Anders Munck

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Hypertension in General Practice

• Traditional APO-audit
• Part of a randomised study with control group
• Involvement of the patients through a questonaire
• Half of the practices will get the intervention
  activities after the second registration
• The cohorte of patients answering can be followed
  in various registers

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Background

• Estimated 800.000 persons in DK.
• (200 per GP)
• Half of them is diagnosed
• Half of them again is well treated
• Focus at the increasing lack of GPs
• Need for more involvement of practice staff

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Objectives

• to improve diagnosing
• to improve treatment
• to Improve monitoring

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Methods

• Eye-opening through an APO-audit
• collection of data in own practice
• questionnaires to the patients
• participation in follow-up courses
• 184 practices with at average two doctors
• and one nurse from each clinic enrolled
• 7342 patients

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Items

• Duration
• Blood pressure in the clinic at home after
  self measurement
• Cardiovascular risk factors smoking, family
  history, hyperlipidemia, diabetes and others
• Cardiovascular events Apoplexia and coronary
  trombosis,
• Pharmacological treatment.

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Do your practice have written guidelines for the
examination of hypertensive patients?
Number
Yes 44 27,7
No 113 71,1
Unknown 2 1,3
Sum 159 100,0
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Staff involvement
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The courses

• Result from doctors registration
• Result from the questionnaire
• Result from prescription database
• Treatment today
• Management today
• Measurement, calibration e.g.
• Prevention activities at municipality level

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Future

• Next registration is about to take place
• Actual blood pressure same patients

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• www.apo-danmark.dk