Will a web-based cardiovascular disease (CVD) risk assessment programme increase the assessment of CVD risk factors for Maori?

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dc.contributor.author Whittaker, Robyn en
dc.contributor.author Bramley, DM en
dc.contributor.author Wells, Linda en
dc.contributor.author Stewart, Alistair en
dc.contributor.author Selak, Vanessa en
dc.contributor.author Furness, SJ en
dc.contributor.author Rafter, N en
dc.contributor.author Roseman, P en
dc.contributor.author Jackson, Rodney en
dc.coverage.spatial New Zealand en
dc.date.accessioned 2016-02-03T23:50:03Z en
dc.date.issued 2006-07-21 en
dc.identifier.citation New Zealand Medical Journal, 2006, 119 (1238), 2077 en
dc.identifier.issn 0028-8446 en
dc.identifier.uri http://hdl.handle.net/2292/28200 en
dc.description.abstract Abstract Background Mäori suffer disproportionately from cardiovascular disease despite the national priority of reducing inequalities. National guidelines on the clinical management of CVD risk recommend a comprehensive risk assessment be completed as a prerequisite for identifying patients most likely to benefit from treatment. Methods A retrospective audit of GPs using PREDICT-CVD (an electronic risk assessment and management tool) was designed with adequate explanatory power for Mäori to determine if it could increase CVD risk assessment without increasing inequalities. 1680 electronic medical records (EMRs) prior to implementation and 1884 after implementation of PREDICT were audited. Results Documentation of CVD risk increased from 3.2% of EMRs to 14.7% of EMRs in Mäori, and from 2.8% to 10.5% in non-Mäori. The documentation of individual CVD risk factors also increased post-implementation of the tool. Conclusions The implementation of PREDICT-CVD was as likely to increase documentation of CVD risk assessment and risk factors in Mäori as in non-Mäori. However documentation was still low in Mäori despite known high prevalence of CVD risk factors. A comprehensive quality-driven implementation programme is recommended, including targeting risk assessment for those most in need. en
dc.description.uri http://www.ncbi.nlm.nih.gov/pubmed/16868574 en
dc.language English en
dc.publisher New Zealand Medical Association en
dc.relation.ispartofseries New Zealand Medical Journal en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/0028-8446/ http://www.nzma.org.nz/journal/subscribe/conditions-of-access en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Will a web-based cardiovascular disease (CVD) risk assessment programme increase the assessment of CVD risk factors for Maori? en
dc.type Journal Article en
pubs.issue 1238 en
pubs.volume 119 en
dc.rights.holder Copyright: New Zealand Medical Association en
dc.identifier.pmid 16868574 en
pubs.author-url http://www.nzma.org.nz/journal/read-the-journal/all-issues/2000-2009/2006 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 70715 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Population Health en
pubs.org-id Epidemiology & Biostatistics en
dc.identifier.eissn 1175-8716 en
pubs.number 2077 en
pubs.record-created-at-source-date 2010-09-01 en
pubs.dimensions-id 16868574 en

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