325 Quality In Hypertension Treatment

Author(s): 
SOVERI P, WINELL K, AUTIO R, ELORANTA H, GRANNAS-HONKANEN H, HILTUNEN L, HIRSSO P, MUSTONEN H, OIKKONEN M, PEKKARINEN K, SINIVALO P, TIMOSKA R, AMAN T, Conmedic, Finland, pertti.soveri@porvoo.fi
Text: 
Introduction:
A quality development project in hypertension treatment was started in 1995 in Finland. The project has two purposes. To develop locally acceptable guidelines for treating hypertensive patients and to develop criteria for quality and means to measure the quality of hypertension treatment.
Methods: 300 GP's in 10 health centres worked out guidelines and criteria for good hypertension care. A common protocol to measure the quality was agreed on in summer 1997 and has been used for measuring the quality of hypertension care in the participating health centres annually. The protocol is used for every patient classified by the GP as suffering from hypertension. At annual network meetings the results were analysed. After that each health centre developed ways of improving their processes.
Results: Indicators followed are: Blood pressure (BP) measured during the last year+/-, last systolic and diastolic BP, setting a target for BP +/-, smoking +/-, BMI, cholesterol measured during the last year +/-, and the level of cholesterol. Recording of all these indicators was improved during the process until 1999.The results from 2000 are analysed and will be presented in the poster, this will show whether the blood pressure levels improved.
Conclusion:
Improving the process of hypertension treatment does not automatically improve the outcome of the treatment measured in mmHg.
Literature: 
325 QUALITY IN HYPERTENSION TREATMENT