Influence of patient characteristics on preventive service delivery and general practitioners’ preventive performance indicators: A study in patients with hypertension or diabetes mellitus from Hungary
| Title: | Influence of patient characteristics on preventive service delivery and general practitioners’ preventive performance indicators: A study in patients with hypertension or diabetes mellitus from Hungary |
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| Authors: | János Sándor, Attila Nagy, Tibor Jenei, Anett Földvári, Edit Szabó, Orsolya Csenteri, Ferenc Vincze, Valéria Sipos, Nóra Kovács, Anita Pálinkás, Magor Papp, Gergely Fürjes, Róza Ádány |
| Source: | European Journal of General Practice, Vol 24, Iss 1, Pp 183-191 (2018) |
| Publisher Information: | Taylor & Francis Group, 2018. |
| Publication Year: | 2018 |
| Collection: | LCC:Medicine (General) |
| Subject Terms: | Guideline adherence, preventive services use, monitoring, primary care, risk adjustment, Medicine (General), R5-920 |
| More Details: | Background: Regular primary healthcare (PHC) performance monitoring to produce a set of performance indicators for provider effectiveness is a fundamental method for improving guideline adherence but there are potential negative impacts of the inadequate application of this approach. Since performance indicators can reflect patient characteristics and working environments, as well as PHC team contributions, inadequate monitoring practices can reduce their effectiveness in the prevention of cardiometabolic disorders. Objectives: To describe the influence of patients’ characteristics on performance indicators of PHC preventive practices in patients with hypertension or diabetes mellitus. Methods: This cross-sectional analysis was based on a network of 165 collaborating GPs. A random sample of 4320 adults was selected from GP’s patient lists. The response rate was 97.3% in this survey. Sociodemographic status, lifestyle, health attitudes and the use of recommended preventive PHC services were surveyed by questionnaire. The relationship between the use of preventive services and patient characteristics were analysed using hierarchical regression models in a subsample of 1659 survey participants with a known diagnosis of hypertension or diabetes mellitus. Results: Rates of PHC service utilization varied from 18.0% to 97.9%, and less than half (median: 44.4%; IQR: 30.8–62.5) of necessary services were used by patients. Patient attitude was as strong of an influencing factor as demographic properties but was remarkably weaker than patient socioeconomic status. Conclusion: These findings emphasize that PHC performance indicators have to be evaluated concerning patient characteristics. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 1381-4788 1751-1402 13814788 |
| Relation: | https://doaj.org/toc/1381-4788; https://doaj.org/toc/1751-1402 |
| DOI: | 10.1080/13814788.2018.1491545 |
| Access URL: | https://doaj.org/article/f7517bbe901d44df8875cf928ce15020 |
| Accession Number: | edsdoj.f7517bbe901d44df8875cf928ce15020 |
| Database: | Directory of Open Access Journals |
| ISSN: | 13814788 17511402 |
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| DOI: | 10.1080/13814788.2018.1491545 |
| Published in: | European Journal of General Practice |
| Language: | English |