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An examination of pateients hospitalized with chronic heart failure - an evidence-based analysis according to clinical practice guidelines

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  • Biology
  • Medicine


Microsoft Word - Paulik-angol EXAMINATION OF PATIENTS HOSPITALIZED WITH CHRONIC HEART FAILURE – AN EVIDENCE-BASED ANALYSIS ACCORDING TO CLINICAL PRACTICE GUIDELINES Summary of Ph.D. Thesis Edit Paulik M.D. Department of Public Health Faculty of Medicine, University of Szeged Szeged 2003 2 Introduction Currently the quality and the appropriateness of health care is in the focus of interest. Evidence-based clinical guidelines are important considering both quality and appropriateness. There are no traditions in Hungary developing evidence-based clinical guidelines, thus in 1996 the Hungarian Ministry of Welfare initiated a project on the implementation and adaptation of practice guidelines developed by the US Agency for Health Care Policy and Research (AHCPR) to Hungarian conditions. The aim of this research was to study the applicability and adaptability of clinical practice guidelines “Heart Failure: Evaluation and Care of Patients with Left-Ventricular Systolic Dysfunction” to Hungarian conditions. We examined the clinical care of patients hospitalized with the suspicion of chronic heart failure in some Hungarian hospitals before and after the dissemination of the guidelines. Materials and methods A ’before – after’ controlled epidemiological study was used to examine the health care practice before and after the dissemination of the guideline (before period: 1 January 1997 to 28 February 1998 – before the dissemination of the guidelines, after period: 15 March 1998 to 15 March 1999 – after the dissemination of the guidelines). Six voluntarily participating hospitals, chosen by the Ministry of Welfare, took part in the study (H1-H6) representing each level of in-patient health care in Hungary. A total of 1222 patients admitted with an initial diagnosis of chronic heart failure or any primary causative factor of it were involved in the study. Data collection was based on hospital documentation. A pilo

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