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Quality indicators for clinical care of patients with hypertension: scoping review protocol
Hanevi Djasri1, Sekar Laras1, Adi Utarini2
1Centre for Health Policy and Management, Universitas Gadjah Mada Fakultas Kedokteran Kesehatan Masyarakat dan Keperawatan (Faculty of Medicine, Public Health and Nursing), Yogjakarta, Indonesia.
Insights
This study identifies quality indicators for hypertension clinical care within universal health coverage (UHC) systems. It aims to improve patient outcomes and assess effective coverage for hypertension management.
Area of Science:
- Public Health
- Health Services Research
- Cardiovascular Medicine
Background:
- Cardiovascular diseases, particularly hypertension, present a significant financial burden within universal health coverage (UHC) systems.
- Effective clinical care for hypertension is crucial to prevent severe health complications and ensure patient well-being.
- Assessing the quality of hypertension care is essential for measuring the effective coverage of individuals within UHC.
Purpose of the Study:
- To identify and define indicators for measuring the quality of clinical care provided to hypertension patients in healthcare facilities.
- To support the evaluation of effective coverage for hypertension management in UHC settings.
Main Methods:
- A comprehensive scoping review following established methodological stages.
- Extensive literature search across multiple electronic databases (MEDLINE, Cochrane, Scopus, Web of Science) and clinical guideline repositories.
- Inclusion of all research designs and quality indicators for hypertension clinical care, with data summarized quantitatively and qualitatively.
Main Results:
- The review will compile a comprehensive list and detailed profile of all identified quality indicators for hypertension care.
- Results will be synthesized using numerical counts and thematic analysis to provide a clear overview of current indicators.
- Stakeholder consultations will be integral to refining findings and ensuring practical applicability.
Conclusions:
- The identified indicators will serve as a vital tool for assessing and improving the quality of hypertension clinical care.
- Findings will contribute to enhancing the effective coverage of hypertension management within universal health coverage frameworks.
- Dissemination through policy briefs, conferences, and publications will promote the uptake of these quality indicators.
Introduction:
Cardiovascular diseases impose significant financial impact on countries implementing universal health coverage (UHC). Hypertension is a primary disease that will lead to more severe conditions without adequate clinical care. The quality of its clinical care must be well assessed in order to measure the effective coverage of people with hypertension in UHC. This study aims to identify indicators that can be used to measure the quality of clinical care provided to patients with hypertension in healthcare facilities.
Methods And Analysis:
This review will be conducted using the six stages of the scoping review method: identifying the research question, searching for relevant studies, selecting studies, charting the data, collating, summarising and reporting the results, and conducting consultation exercises. The review will include all quality indicators used for clinical care of patients with hypertension at any healthcare facility. All research designs will be included. Search strategies are developed using the medical subject headings and keywords related to hypertension and quality indicators. Several electronic databases, that is, MEDLINE, Cochrane, Scopus and Web of Science, including clinical-guideline databases from Agency for Healthcare Research and Quality, National Institute for Health and Care Excellence, National Health Service Evidence and Medical Information Network Distribution Service, and also grey literature will be used. Two researchers will screen the titles and abstracts and review the full text of selected articles to determine the final inclusion. The results will be summarised quantitatively, using numerical counts, and qualitatively, using thematic analysis. The data extraction will include a complete list and detailed profile of all indicators. Stakeholder consultation will be conducted at the beginning and after preliminary results to translate findings to the potential knowledge users.
Ethical Considerations And Dissemination:
Reviews of published articles are considered secondary analysis and do not need ethical approval. The findings will be disseminated through various strategies, such as policy briefs, conferences, peer-reviewed journals, and on selected websites relevant to the subject.
Study Status:
Data collection for the scoping review will include publications up to May 2019, and the analysis will start in June 2019.
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