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Table 4 Follow-up plan and collection of patient data

From: Effectiveness of a new health care organization model in primary care for chronic cardiovascular disease patients based on a multifactorial intervention: the PROPRESE randomized controlled trial

Enrolment allocation

Intervention group:

 15 HC selected from those participating in ESCARVAL-risk study.

 350 patients randomly selected from the total amount of patients with IHD registered in the electronic health records.

 Patients are enrolled by their primary care physicians. (Inclusion and exclusion criteria).

Control group:

 A random sample of patients (350) with IHD selected from 72 HC electronic records (from ESCARVAL-risk study)

Intervention follow-up: 1 year

Baseline data

Personalized follow-up record

Starting formative intervention strategy for professionals and patients:

  Intervention

Patients

Professionals

First visit

Evaluate monitoring of CVRF

Advice online by cardiologist

Accord control objectives

Monthly updates

Adherence control

Protocols, guides and bibliography reviews

Therapeutic education

In-class training course

Second visit

Evaluate monitoring of CVRF

Advice online by cardiologist

Accord control objectives

Monthly updates

Adherence control

Protocols, guides and bibliography reviews

Therapeutic education

In-class training course

Third visit

Evaluate monitoring of CVRF

Advice online by cardiologist

Accord control objectives

Monthly updates

Adherence control

Protocols, guides and bibliography reviews

 

Therapeutic education

In-class training course

Number of hospital admissions

 

Outcomes

Statistical analysis. Loses to follow-up.

Presentation of results at participating HC.

 

Final report

  1. HC, Health Center.