Quality indicators for the prevention and management of cardiovascular disease in primary care in nine European countries

2008 ◽  
Vol 15 (5) ◽  
pp. 509-515 ◽  
Author(s):  
Stephen M. Campbell ◽  
Sabine Ludt ◽  
Jan Van Lieshout ◽  
Nicole Boffin ◽  
Michel Wensing ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Primary Care ◽  
Quality Indicators ◽  
Preventive Care ◽  
Cardiovascular Prevention ◽  
European Countries ◽  
The European Union ◽  
Wide Range ◽  
Cardiovascular Care

Background With free movement of labour in Europe, European guidelines on cardiovascular care and the enlargement of the European Union to include countries with disparate health care systems, it is important to develop common quality standards for cardiovascular prevention and risk management across Europe. Methods Panels from nine European countries (Austria, Belgium, Finland, France, Germany, Netherlands, Slovenia, United Kingdom and Switzerland) developed quality indicators for the prevention and management of cardiovascular disease in primary care. A two-stage modified Delphi process was used to identify indicators that were judged valid for necessary care. Results Forty-four out of 202 indicators (22%) were rated as valid. These focused predominantly on secondary prevention and management of established cardiovascular disease and diabetes. Less agreement on indicators of preventive care or on indicators for the management of hypertension and hypercholesterolemia in patients without established disease was observed. Although 85% of the 202 potential indicators assessed were rated valid by at least one panel, lack of consensus among panels meant that the set that could be agreed upon among all panels was much smaller. Conclusion Indicators for the management of established cardiovascular disease have been developed, which can be used to measure the quality of cardiovascular care across a wide range of countries. Less agreement on how the quality of preventive care should be assessed was observed, probably caused by differences in health systems, culture and attitudes to prevention.

scholarly journals Psychometric analysis of the TRANSIT quality indicators for cardiovascular disease prevention in primary care

2017 ◽  
Vol 29 (8) ◽  
pp. 999-1005 ◽  
Author(s):  
Cynthia Khanji ◽  
Céline Bareil ◽  
Eveline Hudon ◽  
Johanne Goudreau ◽  
Fabie Duhamel ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Primary Care ◽  
Disease Prevention ◽  
Quality Indicators ◽  
Cardiovascular Disease Prevention ◽  
Psychometric Analysis

scholarly journals ACTUAL OR POTENTIAL EXTENDED SERVICES PERFORMED BY MALAYSIAN COMMUNITY PHARMACISTS, PERCEPTIONS AND BARRIERS TOWARDS IT’S PERFORMANCE: A SYSTEMATIC REVIEW

2017 ◽  
Vol 9 (10) ◽  
pp. 13 ◽  
Author(s):  
Nazri Nordin ◽  
Mohamed Azmi Ahmad Hassali ◽  
Azmi Sarriff
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Systematic Review ◽  
Cardiovascular Disease ◽  
Medication Use ◽  
Community Pharmacists ◽  
Self Medication ◽  
Wide Range ◽  
The Right

Objective: Aims of this review were to identify actual or potential extended services performed in community pharmacy settings, perceptions among community pharmacists (CPs), general practitioners (GPs), consumers and policymakers of these extended services and barriers towards its performance.Methods: A literature review was conducted, using Google Scholar and PubMed as a searching engine.Results: Identifying eight quality full texts to review which fulfil the inclusion searching criteria, revealing a wide range of actual or potential extended services performed by CPs such as counselling on asthma, cardiovascular disease, breast cancer, diabetes, smoking cessation and self-medication. GPs’ perceptions towards these extended services were varied, not or in favour of CPs to perform some actual or potential extended services. Customers were in favour of CPs to perform these actual or potential extended services whereas CPs indicated a few barriers towards the performance of these actual or potential extended services.Conclusion: As a conclusion, CPs in Malaysia were in the right position to perform the actual or potential extended services, collaborating with GPs to promote better medication use and enhance patients’ quality of life. Some barriers towards these extended services must be intervened in order to enhance the quality of the services.

scholarly journals Predictors of Health-Related Quality of Life in Patients at Risk for Cardiovascular Disease in European Primary Care

PLoS ONE ◽  
2011 ◽  
Vol 6 (12) ◽  
pp. e29334 ◽  
Author(s):  
Sabine Ludt ◽  
Michel Wensing ◽  
Joachim Szecsenyi ◽  
Jan van Lieshout ◽  
Justine Rochon ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cardiovascular Disease ◽  
Primary Care ◽  
At Risk ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Patients At Risk

scholarly journals Multimorbidity and quality of life: longitudinal analysis of the European SHARE database

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
T Makovski ◽  
G Le Coroller ◽  
P Putrik ◽  
S Stranges ◽  
L Huiart ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Economic Status ◽  
European Countries ◽  
Geographic Variations ◽  
Ageing Society ◽  
Specific Analysis ◽  
Confounding Variables ◽  
Wide Range ◽  
Share Data

Abstract Multimorbidity defined most commonly as co-existence of 2+ diseases is one of the major challenges of an ageing society. It is often accompanied with declining quality of life (QoL). The study aims to 1) assess the relationship between increasing number of diseases and QoL over time, 2) explore the differences between several European countries. Longitudinal data analysis performed on the relevant waves (2004 to 2017) of the Survey of Health, Ageing and Retirement in Europe (SHARE). Data were collected every two years among participants aged 50+. Health conditions were identified through an open-end questionnaire containing 17 prelisted conditions. QoL was evaluated by Control, Autonomy, Self-Realization and Pleasure questionnaire (CASP-12v). Maximum QoL score, describing the best state was 48; minimum, 12 points. Association between increasing number of diseases and QoL is being assessed with multilevel analysis accounting for time and clustering within household and country. Minimum follow-up is 2 time points. Confounding variables include age, sex, socio-economic status, social support and health care parameters. Preliminary findings show that 20 countries and 87,087 individuals participated in at least 2 waves; 80,041 answered CASP at least twice. Number of diseases when first reported was on average 1.65 (IQR=0,2) and increased to 1.88 (IQR=1,3) when last reported. Similarly, between first and last reported point QoL decreased on average by -0.32 (SD: ± 5.9); estimated by non-rescaled CASP scale. Greece showed the strongest decrease of -1.73 (SD: ± 6.36), while QoL increased in some countries, the most in Portugal for 0.76 (SD: ± 5.62). Our preliminary findings suggest high geographic variations in QoL, possibly driven by differential clustering of multimorbidity across Europe, design issues and other factors. This may underline the need for country-specific analysis and initiatives to address the growing burden of multimorbidity in our ageing populations. Key messages First longitudinal study to address this research questions across wide range of European countries using SHARE. Study accounts for large number of confounding factors owing to the abundance of collected information.

scholarly journals QUALITY ASSURANCE AT HIGHER NON-UNIVERSITY INSTITUTIONS: REVEALING THE EDUCATORS‘ ATTITUDES

2009 ◽  
Vol 1 (1) ◽  
pp. 29-35
Author(s):  
Danė Papečkienė
Keyword(s):  
Higher Education ◽  
Quality Assurance ◽  
College Education ◽  
European Countries ◽  
Administrative Staff ◽  
The European Union ◽  
Universities And Colleges ◽  
European Universities ◽  
The One

Lithuania having joined the European Union and seeking the education acquired in Lithuania to be internationally recognized, the necessity emerged to match the education standards with the systems of vocational training in European countries. The project plan (2002-2006) of the development of higher education in Lithuania states that the quality assurance is a top priority. The emphasis is laid on the fact that the quality assurance of higher education should not lack behind the one in the developed European countries. The quality assurance of higher education has been under discussion in the few recent years. How should be the studies organized in order to train students to be able to compete in the labor market of the dynamically developing European countries? To determine the dimensions and standards of the education quality that are common to Lithuanian universities and colleges it is essential to regard the worldwide experience and to apply it in the context of our country. The importance has been laid on the quality assurance at the European universities for the recent 10 years. The subsequent organizations were established in different countries all over the world. A number of the agencies dealing with the quality assurance of higher education started the network partnership. The established Centre for Quality Assessment in higher education plays a major role for implementing the external quality assurance policy in universities and colleges of Lithuania by contributing to the development of human resources. The object of this research is to reveal the educators’ attitudes at Marijampolė and Utena colleges towards the establishment of the quality assurance system at college. The research was done in November, 2004 at Marijampole and Utena colleges. There were 120 educator respondents at Marijampole College and 50 respondents at Utena College. 146 of them were lecturers and 24 were the administrative staff. The research done, the conclusions were made that the communities comprising the lecturers as well as the administrative staff of the colleges are concerned about the quality assurance of higher education and studies. The quality of higher non-university studies is being continuously assessed. Moreover, the system of quality assurance is being continuously developed. The educators both at Marijampole and Utena Colleges positively assess their input into the successive performance of the institutions taking an active part in making decisions related to the improvement of the inner system of quality assurance at the institutions. Key words: quality of studies, college, education.

scholarly journals Cardiovascular prevention in peri- and postmenopausal women

2011 ◽  
Vol 10 (3) ◽  
pp. 123-130
Author(s):  
N. A. Voychenko ◽  
I. V. Kuznetsova ◽  
V. B. Mychka ◽  
M. Yu. Kirillova ◽  
S. N. Tolstov
Keyword(s):  
Quality Of Life ◽  
Cardiovascular Disease ◽  
Hormone Replacement Therapy ◽  
Postmenopausal Women ◽  
Lower Risk ◽  
Ovarian Function ◽  
Hormone Replacement ◽  
Cardiovascular Prevention ◽  
Cvd Risk

The adverse consequences of estrogen deficiency in postmenopause include cardiovascular disease (CVD), which affects not only women’s quality of life, but also their life expectancy. Before premenopause, women have significantly lower risk of arterial hypertension than men of the same age. However, in people aged over 50, AH is more prevalent among women. Currently, most experts regard hormone replacement therapy (HRT) in peri- and postmenopausal women as pathogenetic, since it facilitates the adaptation of the female organism to the new metabolic state, with reduced ovarian function. Drospirenone, as a part of HRT, reduces CVD risk in postmenopausal women with climacteric disturbances.

scholarly journals Development and Operationalization of a Data Framework to Assess Quality of Integrated Diabetes Care in the Fragmented Data Landscape of Belgium

2022 ◽  
Author(s):  
Veerle Buffel ◽  
Katrien Danhieux ◽  
Philippe Bos ◽  
Roy Remmen ◽  
Josefien Van Olmen ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Of Care ◽  
Quality Indicators ◽  
Diabetes Care ◽  
Care Practice ◽  
Data Framework ◽  
Related Quality ◽  
Quality Of Diabetes Care ◽  
Sampling Procedures

Abstract Background. To assess the quality of integrated diabetes care, we should be able to follow the patient throughout the care path, monitor his/her care process and link them to his/her health outcomes, while simultaneously link this information to the primary care system and its performance on the structure and organization related quality indicators. However the development process of such a data framework is challenging, even in period of increasing and improving health data storage and management. This study aims to develop an integrated multi-level data framework for quality of diabetes care and to operationalize this framework in the fragmented Belgium health care and data landscape.Methods. Based on document reviews and iterative expert consultations, theoretical approaches and quality indicators were identified and assessed. After mapping and assessing the validity of existing health information systems and available data sources through expert consultations, the theoretical framework was translated in a data framework with measurable quality indicators. The construction of the data base included sampling procedures, data-collection, and several technical and privacy-related aspects of linking and accessing Belgian datasets.Results. To address three dimensions of quality of care, we integrated the chronic care model and cascade of care approach, addressing respectively the structure related quality indicators and the process and outcome related indicators. The corresponding data framework is based on self-collected data at the primary care practice level (using the Assessment of quality of integrated care tool), and linked health insurance data with lab data at the patient level. Conclusion. In this study, we have described the transition of a theoretical quality of care framework to a unique multilevel database, which allows assessing the quality of diabetes care, by considering the complete care continuum (process and outcomes) as well as organizational characteristics of primary care practices.

scholarly journals Primary care in five European countries: A citizens’ perspective on the quality of care for children

PLoS ONE ◽  
2019 ◽  
Vol 14 (11) ◽  
pp. e0224550 ◽  
Author(s):  
Janine A. van Til ◽  
Catharina G. M. Groothuis-Oudshoorn ◽  
Eline Vlasblom ◽  
Paul L. Kocken ◽  
Magda M. Boere-Boonekamp
Keyword(s):  
Primary Care ◽  
Quality Of Care ◽  
European Countries

scholarly journals European Society of Cardiology methodology for the development of quality indicators for the quantification of cardiovascular care and outcomes

2020 ◽  
Author(s):  
Suleman Aktaa ◽  
Gorav Batra ◽  
Lars Wallentin ◽  
Colin Baigent ◽  
David Erlinge ◽  
...  
Keyword(s):  
Quality Indicators ◽  
European Society ◽  
Care Delivery ◽  
Healthcare Providers ◽  
Implementation Process ◽  
Feasibility Assessment ◽  
Expert Opinions ◽  
European Society Of Cardiology ◽  
Cardiovascular Care

Abstract Aims It is increasingly recognized that tools are required for assessing and benchmarking quality of care in order to improve it. The European Society of Cardiology (ESC) is developing a suite of quality indicators (QIs) to evaluate cardiovascular care and support the delivery of evidence-based care. This paper describes the methodology used for their development. Methods and results We propose a four-step process for the development of the ESC QIs. For a specific clinical area with a gap in care delivery, the QI development process includes: (i) the identification of key domains of care by constructing a conceptual framework of care; (ii) the construction of candidate QIs by conducting a systematic review of the literature; (iii) the selection of a final set of QIs by obtaining expert opinions using the modified Delphi method; and (iv) the undertaking of a feasibility assessment by evaluating different ways of defining the QI specifications for the proposed data collection source. For each of the four steps, key methodological areas need to be addressed to inform the implementation process and avoid misinterpretation of the measurement results. Conclusion Detailing the methodology for the ESC QIs construction enables healthcare providers to develop valid and feasible metrics to measure and improve the quality of cardiovascular care. As such, high-quality evidence may be translated into clinical practice and the ‘evidence-practice’ gap closed.

scholarly journals Simulation based study on improving the transient response quality of turbocharged diesel engines

2017 ◽  
Vol 23 (3) ◽  
pp. 297-309 ◽  
Author(s):  
Rakesh Mishra ◽  
Syed Mohammad Saad
Keyword(s):  
Steady State ◽  
Diesel Engine ◽  
Quality Indicators ◽  
Transient Response ◽  
Operating Conditions ◽  
Compressor Wheel ◽  
Turbocharged Diesel Engine ◽  
Content Type ◽  
Wide Range

Purpose Use of fossil fuels in automotive sector is one of the primary causes of greenhouse emissions. The automotive engines need to perform at their best efficiency point to limit these emissions. Most of the quality indicators in this regard are based on near steady state global operational characteristics for engines without considering local performance. In the present study, extensive numerical simulations have been carried out covering a wide range of steady state and transient operating conditions to quantify interaction of turbocharger with engines through turbo lag phenomena which may cause increased emissions during the load change conditions. Furthermore possible innovations have been explored to minimize turbo lag phenomena. The paper aims to discuss these issues. Design/methodology/approach In this paper quality indicators have been developed to quantify the performance of turbocharged diesel engine under the transient event of rapid change in fueling rate which has been rarely investigated. The rate of fueling is changed from 40 mm3/injection to 52 mm3/injection at 1,000 rpm engine speed which corresponds to normal operating condition. To improve quality of transient response, torque assistance method and reduction of inertia of compressor wheel have been used. Parametric study has been undertaken to analyze the quality indicators such as outlet pressure of the compressor and the compressor speed. The turbo lag is quantified to obtain the close to optimal transient response of turbocharged diesel engine. Findings It has been shown that, with torque assist the transient response of the internal combustion engine is significantly improved. On the other hand, marginal improvement in transient response is observed by the reduction in inertia of the compressor wheel. Research limitations/implications The findings indicate that turbo lag can be minimized by providing torque assistance by active and passive means. Practical implications The developed methods can be used in practice for efficient operation of vehicles. Social implications The work carried out in the paper provides a way to minimize harmful emissions. Originality/value The quality indicators developed provide a quantitative measure of turbo lag phenomena and address the above mentioned problems.

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