Leitlinienorientierung deutscher Hausärzte bei der Diagnostik und Therapie der arteriellen Hypertonie und des Diabetes mellitus View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2004-08

AUTHORS

Nicole Wagner, David Pittrow, Wilhelm Kirch, Beate Küpper, Petra Krause, Michael Höfler, Peter Bramlage, Hans-Ulrich Wittchen

ABSTRACT

OBJECTIVES: The paper examines to what degree German primary care physicians know and work along the rules established in guidelines for arterial hypertension and diabetes mellitus. METHODS: HYDRA is a 2-stage cross-sectional point prevalence study with 1912 participating primary care settings throughout Germany including 45,125 patients. A pre-study questionnaire to assess doctors practice patterns was used. Subsequently doctors completed a structured clinical appraisal with a diagnostic workup and characterization of the current treatments provided. All patients filled out a questionnaire. RESULTS: Pre-study results show that only every second primary care physician manages the patients according to established guidelines. Further, physicians estimated their own work as problematic and not always successful. Guideline-oriented doctors were more likely to report hypertension and diabetes treatment patterns that also match guideline's recommendations. CONCLUSIONS: The study shows a considerable degree of dissatisfaction with the quality of their work among primary care physicians. Guideline-oriented doctors however reveal more frequently formally adequate management characteristics. This encouraging aspect suggests the need of more successful implementation of medical guidelines in order to achieve improved evidence-based medicine and better patient-oriented health care. More... »

PAGES

261-268

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00038-004-3063-5

DOI

http://dx.doi.org/10.1007/s00038-004-3063-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1022661411

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/15357528


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