Clinical trial NCT00792402: Computerized Guideline in Heart Failure: Implementation Process and Impact Evaluation
Official title: Implementation Process and Impact of the Heart Failure Electronic Clinical Guideline in the Catalan Health Institute Primary Care Health Board
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Chronic Heart Failure
Keywords: chronic heart failure
Computerized clinical guidelines
Primary care
Lead sponsor: Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina
Sponsor class: OTHER
Collaborators: name: Catalan Institute of Health
First posted: 2008-11-18
Enrollment: 13008
Sex: ALL
Minimum age (years): 30
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_CONTROL
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Setting: 20 general practices in Barcelona (intervention group),with an assigned population of 558515 inhabitants and Girona (control Group) with 23 general practices, and an assigned population of 480827.In 2007, the intervention region had a rate of 1499 patients per GP and from 16 to 52 thousand listed patients per practice with and average of attending rate of 68%, and the control region had a rate of 1558 patients per GP and from 4 to 47 thousand listed patients per practice with and average of attending rate of 76%.

Subjects: Managers and general and nurse practitioners from Barcelona and Girona primary care practices included in the study. Patients with diagnoses related to Heart Failure.

Brief summary: Objective: To assess the effectiveness of implementation process of an electronic Heart Failure guideline in primary care in the city of Barcelona.

Detailed description: Design: Two types of design will be applied, according to the specific aims. On the one hand it is a cross-sectional and a qualitative study, on the other hand it is quasi-experimental study. Pre-post intervention with a control group, as well as, of repeated measures in the intervention group

Eligibility criteria: Inclusion Criteria:

* general and nurse primary care practitioners working in Barcelona and Girona for the Health Catalan Institute.
* Managers involved in implementation process for the computerised clinical guideline in Barcelona from the Health Catalan Institute.
* patients with diagnoses of Heart Failure according to ICD-10 according to general practice clinical records.

Exclusion Criteria:

* Managers and general and nurse primary care practitioners working in Barcelona health Centres where there were any other quality improvement project related to Heart failure at the time of the intervention which we are evaluating. Managers from the control group (Girona).
* patients with a mental health disorder or terminal illness

Primary outcomes:
measure: ACE/ARBs, ACE/ARBs+BB, hospitalisation rates, survival rate, reliability/ usability/applicability of computerised guideline, economic measurements
timeFrame: 2005 to 2007
Secondary outcomes:
Other outcomes:
Locations:
city: Barcelona
country: Spain
facility: Unitat de Suport a la Recerca
Study officials:
affiliation: Unitat de Suport a la Recerca, Barcelona, Spain
name: Josep M Davins, MD, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Unitat de Suport a la Recerca, Barcelona, Spain
name: Eva Frigola, Masters
role: STUDY_DIRECTOR
References: