Conclusions Organisational and professional interventions improved prescribing of statins/lipid-lowering agents and target blood pressure in patients with IHDs but there was little evidence of change in other outcomes .
Objectives Ischaemic heart diseases ( IHDs ) are a leading cause of death worldwide .
Although prescribing according to guidelines improves health outcomes , it remains suboptimal .
We determined whether interventions targeted at healthcare professionals are effective to enhance prescribing and health outcomes in patients with IHDs .
A multifaceted intervention according to the Audit Project Odense method improved secondary prevention of ischemic heart disease: a randomised controlled trial.
BACKGROUND No single quality improvement instrument has proved consistently effective , but multifaceted interventions are believed to have the greatest impact . However , only little is known regarding what combinations are likely to be successful . OBJECTIVE To evaluate the impact of a multifaceted intervention strategy combining GP registration s , outreach visits and feedback , targeting secondary prevention of ischemic heart disease in general practice . METHODS A r and omised controlled trial including 28 GPs in Ringkjøbing County , Denmark . Half of the GPs received outreach visits and feedback on their prescribing of heart disease drugs . Evaluation was based on registration of consultations with patients suffering from ischemic heart disease . RESULTS The intervention had a statistically significant impact on prescribing of lipid lowering drugs [ odds ratio 1.59 ; 95 % confidence interval ( CI ) 1.00 to 2.53 ] and acetylsalicylic acid ( odds ratio 2.54 ; 95 % CI 1.21 to 5.31 ) . CONCLUSION An intervention strategy combining outreach visits , feedback and GP registration s is a promising way of improving the quality of preventive treatment in general practice
Conclusions Organisational and professional interventions improved prescribing of statins/lipid-lowering agents and target blood pressure in patients with IHDs but there was little evidence of change in other outcomes .
Objectives Ischaemic heart diseases ( IHDs ) are a leading cause of death worldwide .
Although prescribing according to guidelines improves health outcomes , it remains suboptimal .
We determined whether interventions targeted at healthcare professionals are effective to enhance prescribing and health outcomes in patients with IHDs .