tailieunhanh - báo cáo khoa học: " Study protocol: Cost effectiveness of two strategies to implement the NVOG guidelines on hypertension in pregnancy: An innovative strategy including a computerised decision support system compared to a common strategy of professional audit and feedback, a randomized controlled trial"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Study protocol: Cost effectiveness of two strategies to implement the NVOG guidelines on hypertension in pregnancy: An innovative strategy including a computerised decision support system compared to a common strategy of professional audit and feedback, a randomized controlled trial | Luitjes et al. Implementation Science 2010 5 68 http content 5 1 68 Implementation Science IMPLEMENTATION SCIENCE STUDY PROTOCOL Open Access Study protocol Cost effectiveness of two strategies to implement the NVOG guidelines on hypertension in pregnancy An innovative strategy including a computerised decision support system compared to a common strategy of professional audit and feedback a randomized controlled trial Qi ciĩriPũ I 11 I I Iitícuc 1 2KAI irino Ct. Ạ I lA rsi itarc1 Aria Pranv3 Ml iHortim .i I Qnhaarsarc4 aarla A ll I rsi irsá5 Susanne HE Luitjes iviaurice GAJ vvouters Arie nanx Hubertina C_J sciieepers Veerle MH Coupe I Il II its lA rs I lore Hai m6 l-rin A D Qũũr ũrỊ 7 A artỉỉn p I larỉinaa8 Pacalla PA lrt I larmamc6 irỉtc A nn Tl ilrlar2 Huuu Wollersheim Eiic nr Steegers Martijn P Heringa Rosella PMG Hcimens iviaurits W van Tulder Abstract Background Hypertensive disease in pregnancy remains the leading cause of maternal mortality in the Netherlands. Seventeen percent of the clinical pregnancies are complicated by hypertension and 2 by preeclampsia. The Dutch Society of Obstetrics and Gynaecology NVOG has developed evidence-based guidelines on the management of hypertension in pregnancy and chronic hypertension. Previous studies showed a low adherence rate to other NVOG guidelines and a large variation in usual care in the different hospitals. An explanation is that the NVOG has no general strategy of practical implementation and evaluation of its guidelines. The development of an effective and cost effective implementation strategy to improve adherence to the guidelines on hypertension in pregnancy is needed. Methods Design The objective of this study is to assess the cost effectiveness of an innovative implementation strategy of the NVOG guidelines on hypertension including a computerised decision support system BOS compared to a common strategy of professional audit and feedback. A cluster randomised controlled .