Programme no. 208-WS
Quality Improvement
Quality Improvement is an Imperative in Modern General Practice – What Should We Measure in Heart Diseases?
Klas Winell*1, Per Wandell2, Bjørn Gjelsvik3, Emil Heinäaho4
1Conmedic,Espoo,Finland, 2Centrum för allmänmedicin,Karolinska Institutet ,Stockholm,Sweden, 3Unit of General Practice,University of Oslo,Oslo,Norway, 4Conmedic,Espoo,Finland;Health Centre of Loviisa,Loviisa,Finland
* = Presenting author
Objectives: To make recommendations, which ones should be the key indicators to measure the quality of care of patients with heart diseases in primary health care (PHC)
Background: Several heart diseases make a significant work load in PHC. Diseases like coronary heart disease, heart failure and atrial fibrillation cause major handicap in quality of life and they are a major risk of early death if not treated adequately.

Outcome indicators are difficult in PHC to measure because most of them, e.g. fatal outcomes are scarce in a single practice. Often, however, surrogate outcomes or process indicators can be used to measure the quality. Different indicators have been proposed to be used in PHC. Some of these have been tested and a few are in systematic use.

Content: There will be three 10 minute presentations during the workshop. These make the basis for discussion in small groups. Small groups will make suggestion on common indicators to follow up the care of heart diseases in PHC in the Nordic countries.
Method: Short presentation followed by structured group discussions. The session ends with pulling together Nordic recommendations.
Other considerations: If the workshop is accepted facilitators from other Nordic countries will be recruited.