Public health and healthcare” , subject: “Developing and implementing the clinical practice guideline for managing patients with hypertension in primary care basing on evidence-based medicine

Аннотация

Subjects of research: Electronic database of clinical practice guidelines (CPG) and trials (systematic reviews, RCTs etc.), CPG of managing hypertension developed by Evidence-based medicine center. Assessment was made in primary care practices of Ferghana and Tashkent regions (40 practices, 1200 patients) Purpose of work: Developing the clinical practice guideline for managing patients with arterial hypertension in primary care basing on evidence-based medicine and monitoring the effectiveness of guideline implementation into the primary care practice Methods of research: Developing the quality of hypertensive patients care indicators and comparative study in two independent groups with prospective and controlled design and active intervention in term of implementing clinical practice guideline into primary care practice The results obtained and their novelty: Monitoring of the process and outcome of managing patients with arterial hypertension in term of conformity to thirteen indicators has demonstrated statistically valid difference between two groups of study with shift to intervention group in comparison with control one. First of all, substantial effect was found in process of caring hypertensive patients and in lesser degree in outcomes and this fact assumes that identifying the key factors influencing the process and outcome of hypertensive patients care would be important in perspective. Practical value: The positive outcomes of this study suggest possibility of the same results in using this approach in other areas of medical practice Degree of embed and economic effectivity: CPG of hypertension is widely used by specialists working in primary care, recommendation are implemented into teaching of general practitioners in under- and postgraduate study Field of application: Primary healthcare practices, departments of medical institutes preparing the general practitioners