Computerized Guideline in Heart Failure: Implementation Process and Impact Evaluation

Chronic Heart Failure Clinical Trial

Official title:

Implementation Process and Impact of the Heart Failure Electronic Clinical Guideline in the Catalan Health Institute Primary Care Health Board

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00792402
• Other study ID #: PI07/91020
• Status: Completed
• Phase: N/A
• First received: November 17, 2008
• Last updated: November 22, 2011
• Start date: November 2007
• Est. completion date: November 2011

Study information

• Verified date: November 2011
• Source: Jordi Gol i Gurina Foundation
• Contact: n/a
• Is FDA regulated: No
• Health authority: Spain: Ministry of Health
• Study type: Observational

Clinical Trial Summary

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

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

Recruitment information / eligibility

• Status: Completed
• Enrollment: 13008
• Est. completion date: November 2011
• Est. primary completion date: November 2011
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 30 Years and older

Eligibility

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

Study Design

Observational Model: Case Control, Time Perspective: Prospective

Related Conditions & MeSH terms

• Chronic Heart Failure
• Heart Failure

Locations

Country	Name	City	State
Spain	Unitat de Suport a la Recerca	Barcelona

Sponsors (2)

Lead Sponsor	Collaborator
Jordi Gol i Gurina Foundation	Catalan Institute of Health

Country where clinical trial is conducted

Spain, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	ACE/ARBs, ACE/ARBs+BB, hospitalisation rates, survival rate, reliability/ usability/applicability of computerised guideline, economic measurements		2005 to 2007	No