Stroke Clinical Trial
— IDOCCOfficial title:
Improved Delivery of Cardiovascular Preventive Care (IDOCC) Through Outreach Facilitation
Verified date | October 2014 |
Source | Bruyere Research Institute |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The aim of the proposed study is to implement and evaluate Outreach Facilitation as a means to increase the uptake of evidence-based practice for secondary prevention and management of patients with established CVD and cardiovascular risk factors, in primary care practices throughout the Champlain LHIN. This initiative centers on the use of an Outreach Facilitation Model, in which skilled health professionals known as facilitators (Practice Change Consultants) serve as an expert resource to primary care practices in three areas: a) practice performance assessment, feedback, and consensus building towards goal setting and implementation; b) clinical, technical, organizational resources and practical advice; and c) encouragement to face and move through the challenges associated with implementing system change.
Status | Completed |
Enrollment | 194 |
Est. completion date | February 2013 |
Est. primary completion date | February 2013 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 40 Years and older |
Eligibility |
Inclusion Criteria: - Men and women over 40 years of age, who meet at least one of the following criteria: 1. have established cardiovascular disease: Coronary Artery Disease, Cerebrovascular disease (documented stroke and/or TIA), and Peripheral Vascular Disease; 2. have Diabetes Mellitus; 3. have Chronic Kidney Disease ; 4. are at high risk for CVD based on a presence of at least three of the following established cardiovascular risk factors: age (males = 45, females = 55), smoker status, hypertension, and dyslipidemia. - No restrictions will be imposed on the recruitment process; all practices in the region will be eligible to participate. Exclusion Criteria: - see above |
Country | Name | City | State |
---|---|---|---|
Canada | Elisabeth Bruyere Health Centre | Ottawa | Ontario |
Lead Sponsor | Collaborator |
---|---|
C. T. Lamont Primary Care Research Centre | Bruyere Research Institute, Champlain Primary Care Practices, Dept of Family Medicine, Faculty of Medicine, Hebrew University, Jerusalem, Israel, Institute of Population Health, University of Ottawa, Ottawa Cardiovascular Centre, Ottawa Heart Institute Research Corporation, Ottawa Regional Stroke Program |
Canada,
Baskerville NB, Hogg W, Lemelin J. Process evaluation of a tailored multifaceted approach to changing family physician practice patterns improving preventive care. J Fam Pract. 2001 Mar;50(3):W242-9. — View Citation
Hogg W, Baskerville N, Lemelin J. Cost savings associated with improving appropriate and reducing inappropriate preventive care: cost-consequences analysis. BMC Health Serv Res. 2005 Mar 9;5(1):20. — View Citation
Lemelin J, Hogg W, Baskerville N. Evidence to action: a tailored multifaceted approach to changing family physician practice patterns and improving preventive care. CMAJ. 2001 Mar 20;164(6):757-63. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Quality of care process index = ? of recommended services received by patient/ ? of the recommended services for which the patient was eligible | 5 years | ||
Secondary | Quality of care outcome index = ? of recommended targets reached / ? of the number of targets for which the patient is eligible based on the number of conditions suffered by the patient | 5 years |
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