Strathprints Home | Open Access | Browse | Search | User area | Copyright | Help | Library Home | SUPrimo

Adherence to clinical guidelines in the prevention of coronary heart disease in type ii diabetes mellitus

Kamyar, M. and Johnson, B. Julienne and McAnaw, J.J. and Lemmens-Gruber, R. and Hudson, S.A. (2008) Adherence to clinical guidelines in the prevention of coronary heart disease in type ii diabetes mellitus. Pharmacy World and Science, 30 (1). pp. 120-127. ISSN 0928-1231

Full text not available in this repository. (Request a copy from the Strathclyde author)

Abstract

The study aimed to assess adherence of prescribed medication in primary care to nationally recognised guideline criteria using case note review applying a previously developed medication assessment tool for coronary heart disease (MAT-CHD). Setting Primary care medical centre serving 17,991 patients. A sample of 208 from 463 patients with type 2 diabetes aged 20-75 years with or without a history of ischaemic heart disease (IHD). Method Patients' records were accessed via medical and pharmacy databases. The criteria of the 23-item audit tool were applied to medical records from case notes in order to quantify adherence to individual guideline criteria. Main outcome measure Frequency of adherence to agreed definitions of medication use quality criteria. Results A total of 1,433 guideline criteria were applied and 1,107 (77.2%, CI: 75.0, 79.4) criteria standards were met with 326 (22.7%, CI: 20.6, 25.0) non-adherences. The overall adherence to guideline criteria was significantly lower for secondary prevention than for primary prevention (74.4 vs. 80.1%, P < 0.05; Chi square). Justification recorded in the case notes was identified for 54 (17%, CI: 13, 21) of those non-adherences. Conclusion The MAT-CHD highlighted areas for review and possible improvement. The tool can be used in primary care from case record examination and offers a means of co-operation between community pharmacists and general practitioners in clinical guideline implementation.

Item type: Article
ID code: 17127
Keywords: cardiovascular disease, clinical guideline, community pharmacy, diabetes mellitus, primary prevention, public health, Scotland, secondary prevention, Pharmacy and materia medica, Internal medicine, Public health. Hygiene. Preventive Medicine, Pharmaceutical Science, Pharmacy, Toxicology, Pharmacology, Pharmacology (medical)
Subjects: Medicine > Pharmacy and materia medica
Medicine > Internal medicine
Medicine > Public aspects of medicine > Public health. Hygiene. Preventive Medicine
Department: Faculty of Science > Strathclyde Institute of Pharmacy and Biomedical Sciences
Related URLs:
    Depositing user: Strathprints Administrator
    Date Deposited: 17 Apr 2010 14:05
    Last modified: 05 Sep 2014 02:03
    URI: http://strathprints.strath.ac.uk/id/eprint/17127

    Actions (login required)

    View Item