Kande Cathy, Mash Robert
Division of Family Medicine and Primary Care, Stellenbosch University.
Afr J Prim Health Care Fam Med. 2014 Apr 25;6(1):E1-4. doi: 10.4102/phcfm.v6i1.578.
Although there are no prevalence studies on hypertension in Botswana, this condition is thought to be common and the quality of care to be poor.
The aim of this project was to assess and improve the quality of primary care for hypertension.
Moshupa clinic and catchment area, Botswana.
Quality improvement cycle.
Two hundred participants were included in the audit. Sixty-eight per cent were women with a mean age of 55 years. In the baseline audit none of the target standards were met. During the re-audit six months later, six out of nine structural target standards, five out of 11 process target standards and one out of two outcome target standards were achieved. Statistically-significant improvement in performance (p < 0.05) was shown in 10 criteria although the target standard was not always met. In the re-audit, the target of achieving blood pressure control (< 140/90) in 70% of patients was achieved.
The quality of care for hypertension was suboptimal in our setting. Simple interventions were designed and implemented to improve the quality of care. These interventions led to significant improvement in structural and process criteria. A corresponding significant improvement in the control of blood pressure was also seen.
尽管博茨瓦纳没有关于高血压患病率的研究，但普遍认为这种疾病很常见，且医疗服务质量较差。
本项目旨在评估并改善高血压初级护理的质量。
博茨瓦纳莫舒帕诊所及其服务区域。
质量改进循环。
200名参与者纳入审核。68%为女性，平均年龄55岁。基线审核时未达到任何一项目标标准。六个月后的重新审核中，9项结构目标标准中的6项、11项过程目标标准中的5项以及2项结果目标标准中的1项得以实现。尽管并非总是达到目标标准，但在10项标准中表现出了具有统计学意义的改善（p < 0.05）。在重新审核中，实现了70%的患者血压控制在< 140/90的目标。
在我们的环境中，高血压护理质量欠佳。设计并实施了简单的干预措施以改善护理质量。这些干预措施使结构和过程标准有了显著改善。血压控制方面也相应有了显著改善。
