Effect of tailored practice and patient care plans on secondary prevention of heart disease in general practice: cluster randomised controlled trial

A W Murphy; 1 M E Cupples; 2 S M Smith3 M Byrne4 M C Byrne1 J Newell5 for the SPHERE study team

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Effect of tailored practice and patient care plans on secondary prevention of heart disease in general practice: cluster randomised controlled trial

机译：定制的实践效果和病人护理计划在二级预防心脏病惯例:集群随机对照试验

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STUDY QUESTION What is the effectiveness of a complex intervention with tailored plans for practices and patients on outcomes for patients with coronary heart disease?SUMMARY ANSWER Hospital admissions were significantly reduced after an 18 month intervention but no other benefits were shown, possibly because of a ceiling effect related to improved management of coronary heart disease.WHAT IS KNOWN AND WHATTHIS PAPER ADDS Structured programmes in primary care lead to improved provision of secondary prevention for patients with established heart disease, but expected returns may not be achieved when baseline management levels are high. Current efforts at secondary prevention in primary care should be maintained but future focus may be at the population level and on those patients with additional absolute risk or who are less likely to be receiving optimal therapy.

机译：研究问题的有效性复杂的干预与专门的计划实践对病人和病人的效果与冠心病?住院都显著降低经过18个月的干预,但没有其他好处是,可能是因为天花板效应相关的改善管理冠心病。纸添加结构化的项目在初级保健导致改进提供辅助建立预防患者的心疾病,但预期收益可能无法实现当基线管理水平很高。努力在初级保健的二级预防应该保持但未来重点可能在哪里人口水平,这些患者额外的绝对风险或不太可能接受最佳的治疗。

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来源
《BMJ: British medical journal》 |2009年第7731期|1186-1187|共2页
作者
A W Murphy; 1 M E Cupples; 2 S M Smith3 M Byrne4 M C Byrne1 J Newell5 for the SPHERE study team;
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作者单位

Department of General Practice, National University of Ireland Galway, Ireland;

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原文格式 PDF
正文语种英语
中图分类医药、卫生;
关键词
Primary Health Care; Patients; Randomized Controlled TrialPatient Care PlanningSecondary Preventiongeneral practicePatient CareHeart Diseasesbehavior management;

机译：初级卫生保健;患者;随机对照TrialPatient保健PlanningSecondaryPreventiongeneral practicePatient CareHeartDiseasesbehavior管理;

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Effect of tailored practice and patient care plans on secondary prevention of heart disease in general practice: cluster randomised controlled trial

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