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Predictors of the quality of cardiovascular prevention – a multilevel cross-sectional study

Davorina Petek ; Department of Family Medicine, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
Anuška Ferligoj ; Faculty of Social Sciences, University of Ljubljana, Slovenia
Rok Platinovšek ; Faculty of Social Sciences, University of Ljubljana, Slovenia
Janko Kersnik ; Department of Family Medicine, Faculty of Medicine, University of Maribor, Maribor, Slovenia

Puni tekst: engleski, pdf (341 KB) str. 718-727 preuzimanja: 331* citiraj
APA 6th Edition
Petek, D., Ferligoj, A., Platinovšek, R. i Kersnik, J. (2011). Predictors of the quality of cardiovascular prevention – a multilevel cross-sectional study. Croatian Medical Journal, 52 (6), 718-727. Preuzeto s https://hrcak.srce.hr/78202
MLA 8th Edition
Petek, Davorina, et al. "Predictors of the quality of cardiovascular prevention – a multilevel cross-sectional study." Croatian Medical Journal, vol. 52, br. 6, 2011, str. 718-727. https://hrcak.srce.hr/78202. Citirano 18.06.2021.
Chicago 17th Edition
Petek, Davorina, Anuška Ferligoj, Rok Platinovšek i Janko Kersnik. "Predictors of the quality of cardiovascular prevention – a multilevel cross-sectional study." Croatian Medical Journal 52, br. 6 (2011): 718-727. https://hrcak.srce.hr/78202
Harvard
Petek, D., et al. (2011). 'Predictors of the quality of cardiovascular prevention – a multilevel cross-sectional study', Croatian Medical Journal, 52(6), str. 718-727. Preuzeto s: https://hrcak.srce.hr/78202 (Datum pristupa: 18.06.2021.)
Vancouver
Petek D, Ferligoj A, Platinovšek R, Kersnik J. Predictors of the quality of cardiovascular prevention – a multilevel cross-sectional study. Croat Med J. [Internet]. 2011 [pristupljeno 18.06.2021.];52(6):718-727. Dostupno na: https://hrcak.srce.hr/78202
IEEE
D. Petek, A. Ferligoj, R. Platinovšek i J. Kersnik, "Predictors of the quality of cardiovascular prevention – a multilevel cross-sectional study", Croatian Medical Journal, vol.52, br. 6, str. 718-727, 2011. [Online]. Dostupno na: https://hrcak.srce.hr/78202. [Citirano: 18.06.2021.]

Sažetak
Aim To attempt to develop a model of predictors for quality
of the process of cardiovascular prevention in patients
at high risk of cardiovascular disease (CVD).
Methods We formed a random sample of patients from a
stratified sample of 36 family practice registers of patients
at high risk of CVD without diabetes and without established
CVD. Data were gathered by chart audit and questionnaires
about patient and practice characteristics. We
defined the process of care as a dependent variable by
principle component analysis and tested the relationship
of the process with several independent variables (family
physicians’, patients’, and practice characteristics). To study
the effects of independent variables (predictors) on the
process of care we carried out multilevel regression analysis
with the patients constituting the lower level and nested
within the family physician/practice (the second level).
Results Multilevel regression analysis included 645 patients
from 36 practices (74.1% from the final sample). Patients’
characteristics that predicted the higher-quality process
of CVD prevention were younger age (t = -4.94, 95%
confidence interval [CI] -0.018 to -0.008) and lower socioeconomic
status (t = -2.18, 95%CI -0.195 to -0.010). Practice
characteristics that predicted the higher-quality process of
CVD prevention were smaller practice size (t = 2.83, 95% CI
0.063 to 1.166), a good information system for CVD prevention
(t = 3.15, 95% CI 0.030 to 0.282), and the organization
of education on CVD prevention (t = 3.19, 95%CI 0.043 to
0.380).
Conclusion This study shows that the quality of cardiovascular
prevention could be measured as a composite
outcome and future studies should further develop this
approach and test the impact of several practice/patient
characteristics on the quality of CVD prevention with the
international data.

Ključne riječi
Quality of health care; cardiovascular diseases; prevention and control; outcome and process assessment; risk assessment; family practice

Hrčak ID: 78202

URI
https://hrcak.srce.hr/78202

Posjeta: 506 *