The use of the questionnaire method to improve the training of general practitioners — family physicians for the management of hypertensive patients
Keywords:general practitioners — family physicians, arterial hypertension, questioning, medical charts, training
Background. The efficacy of blood pressure (BP) control in Ukraine is one of the lowest among countries of Eastern and Central Europe and is less than 16.5 %. The strategy of family physicians (FPs) regarding the management of arterial hypertension (AH) patients is far from the ideal. A medical documentation is an important component of a proper treatment and diagnostic process. The quality of AH management in primary medical care settings was studied and analyzed using specially developed questionnaires (for FPs, patients and medical charts reviewers). The FPs’ training programs on “Arterial hypertension” unit were based on the revealed findings. The thematic learning course was created for the more in-depth study of problems in integrated management of AH patients by FPs. The purpose was to evaluate the quality of AH patients management in primary medical care settings with the further improvement of training regarding AH for FPs. Materials and methods. The quality of AH patients management was evaluated by using specially developed questionnaires that are consistent with Ukrainian guidelines for the management of hypertensive patients. About 48 FPs and their patients were interviewed and 53 medical charts were analyzed. All received data were generated in the database and processed using the Microsoft Excel 2010 statistical analysis package. Results. Significant number of FPs does not fully implement the “Arterial Hypertension Guideline” recommendations that may significantly worsen the patients’ outcomes. The quality of medical charts was mostly unsatisfactory. 100 % of AH patients were prescribed the first line modern antihypertensive drugs, but only in 56.25 % of cases, a fixed dose combinations were used that reduces patients’ compliance. Conclusions. The results of the study indicate the necessity to improve the FPs training process сoncerning AH patients management.
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