Development of quality indicators for hypertension management at the primary health care level in South Africa.
Journal
Journal of human hypertension
ISSN: 1476-5527
Titre abrégé: J Hum Hypertens
Pays: England
ID NLM: 8811625
Informations de publication
Date de publication:
14 Oct 2024
14 Oct 2024
Historique:
received:
07
04
2024
accepted:
02
10
2024
revised:
16
09
2024
medline:
15
10
2024
pubmed:
15
10
2024
entrez:
14
10
2024
Statut:
aheadofprint
Résumé
Despite many quality initiatives at the primary health care (PHC) level, little is known about the actual quality of care of patients diagnosed with hypertension in South Africa. This study aimed to develop quality indicators for hypertension management at the PHC level to improve the quality of care and patient outcomes. The RAND/UCLA Appropriateness Method, comprising two rounds, was used to develop clear, appropriate, and feasible evidence-based quality indicators for hypertension. In Round 1, a 9-point scale was used by a panel of 11 members to rate clarity and appropriateness of 102 hypertension quality indicator statements, grouped under 9 dimensions of quality hypertension management, using an online MS Excel® spreadsheet. In Round 2, 9 of the same panellists discussed all indicators and rated their appropriateness and feasibility during a remote online, interactive face-to-face MS Teams® meeting. Statements rated ≥7-9 with agreement were defined as either appropriate or feasible. The panel rated 46 hypertension quality indicator statements ≥7-9 with agreement for the appropriate and feasible measurement of the management of hypertension: monitoring (n = 16), review (n = 5), lifestyle advice (n = 9), tests (n = 7), intermediate outcomes (n = 6), referrals (n = 2) and practice/facility structures (n = 1). No indicator statements were rated both appropriate and feasible for measuring blood pressure levels and treatment. If applied, these indicators would improve monitoring and management of patients with hypertension, patient outcomes, and data quality in South Africa and result in more efficient use of scarce resources. This study can be replicable for improving care of other non-communicable diseases across Africa.
Identifiants
pubmed: 39402282
doi: 10.1038/s41371-024-00966-7
pii: 10.1038/s41371-024-00966-7
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : National Research Foundation (NRF)
ID : UID No. 129079
Organisme : NRF | South African Agency for Science and Technology Advancement (SAASTA)
ID : UID No. 129079
Organisme : NRF | South African Agency for Science and Technology Advancement (SAASTA)
ID : UID No. 129079
Organisme : NRF | South African Agency for Science and Technology Advancement (SAASTA)
ID : UID No. 129079
Organisme : NRF | South African Agency for Science and Technology Advancement (SAASTA)
ID : UID No. 129079
Informations de copyright
© 2024. The Author(s).
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