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Publication Type
Journal Article
Author, Analytic
Harris, MA; Younger-Coleman, Novie O; Ferguson, Trevor S; Figueroa, J.Peter
Author Affiliation, Ana.
n/a
Article Title
Audit and Feedback to improve the management of dyslipidemia in primary care in Jamaica: A randomized controlled trial.
Medium Designator
n/a
Connective Phrase
n/a
Journal Title
Global Journal of Medicine and Pubublic Health
Translated Title
n/a
Reprint Status
n/a
Date of Publication
2016
Volume ID
5
Issue ID
1
Page(s)
1-9
Language
n/a
Connective Phrase
n/a
Location/URL
http:; www.gjmedph.com/uploads/O1-Vo5No1.pdf
ISSN
n/a
Notes
n/a
Abstract
Background:Dyslipidemia. is. a. major. risk. factor. for. cardiovascular. disease.. There. is. little.documentation. about. dyslipidemia. among. patients. attending. public. primary.care. clinics. Jamaica.. This. study. reports. on. an. intervention. to. improve.the.management.of.these.patients .Methods: 500.records.of.patients.with.chronic.diseases.from.six.randomly.selected.health.centers.were.audited.in.2012..An.intervention.comprising.feedback.from.audit,.staff. training. in. motivational. interviewing,. a. reminder stamp. in. patientsí records. and. patient. education. cards. was. conducted. over. 12. months. at. 3intervention. health. centers.. 250. patient. charts. were. from. 3. control. health.centers.. All. 500. patient. records. were. re-audited. one. year. later.. Primary.outcome. was. improved. LDL. control.. Differences. between. intervention. and control.groups.at.baseline.were. tested.using.Pearsonís.?2 and.student.t.tests..Within.group.differences.at.re-audit.were.tested.using.McNemar.?2 and.paired.t-tests..Differences. in. lipid. control. were. assessed. using.mixed. effects. logistic regression..Multi-level.mixed. effects. analysis. of. variance.models. assessed. for.differential.changes.in.lipid.levels.from.baseline.to.re-audit. Results: At.baseline.21.7%.of.intervention.and.14.2%.of.control.patients.achieved.LDL.targets.(p.=.0.143)..Patients.had.a. mean. of. 2.8. clinic. visits. during. the. intervention. year.. At. re-audit,. LDL. increased. by. 0.34. mmol/L. in. the. intervention.group.(p.<.0.001),.and.by.0.15.mmol/L.among.the.controls.(p.=.0.19). Conclusions:There.was.no improvement.in.LDL.control.at.re-audit..The.study.however.provided.useful.information.about lipid.control.among.primary.care.patients.in.Jamaica....
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