Leitlinienorientierung deutscher Hausärzte bei der Diagnostik und Therapie der arteriellen Hypertonie und des Diabetes mellitus

Nicole Wagner (), David Pittrow, Wilhelm Kirch, Beate Küpper, Petra Krause, Michael Höfler, Peter Bramlage and Hans-Ulrich Wittchen

International Journal of Public Health, 2004, vol. 49, issue 4, 268 pages

Abstract: Objectives:The paper examines to what degree German primary care physicians know and work along the rules established in guidelines for arterial hypertension and diabetes mellitus. Methods:HYDRA is a 2-stage cross-sectional point prevalence study with 1912 participating primary care settings throughout Germany including 45125 patients. A pre-study questionnaire to assess doctors practice patterns was used. Subsequently doctors completed a structured clinical appraisal with a diagnostic workup and characterization of the current treatments provided. All patients filled out a questionnaire. Results:Pre-study results show that only every second primary care physician manages the patients according to established guidelines. Further, physicians estimated their own work as problematic and not always successful. Guideline-oriented doctors were more likely to report hypertension and diabetes treatment patterns that also match guideline’s recommendations. Conclusions:The study shows a considerable degree of dissatisfaction with the quality of their work among primary care physicians. Guideline-oriented doctors however reveal more frequently formally adequate management characteristics. This encouraging aspect suggests the need of more successful implementation of medical guidelines in order to achieve improved evidence-based medicine and better patient-oriented health care. Copyright Birkhäuser-Verlag Basel 2004

Keywords: Guidelines; Primary care; Hypertension; Diabetes mellitus; Public Health strategies (search for similar items in EconPapers)
Date: 2004
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DOI: 10.1007/s00038-004-3063-5

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