作者: Dale Bramley , Sue Furness , Robyn Whittaker , Sue Wells , Natasha Rafter
DOI:
关键词: Audit 、 Medical record 、 Retrospective cohort study 、 Comorbidity 、 Documentation 、 Risk assessment 、 MEDLINE 、 Medicine 、 Disease 、 Environmental health
摘要: Background Maori suffer disproportionately from cardiovascular disease despite the national priority of reducing inequalities. National guidelines on clinical management CVD risk recommend a comprehensive assessment be completed as prerequisite for identifying patients most likely to benefit treatment. Methods A retrospective audit GPs using PREDICT-CVD (an electronic and tool) was designed with adequate explanatory power determine if it could increase without increasing 1680 medical records (EMRs) prior implementation 1884 after PREDICT were audited. Results Documentation increased 3.2% EMRs 14.7% in Maori, 2.8% 10.5% non-Maori. The documentation individual factors also post-implementation tool. Conclusions However still low known high prevalence factors. quality-driven programme is recommended, including targeting those need.