Use of echocardiography among patients with heart failure: Practice variations in Hungarian hospitals

Edit Paulik, Anna Müller, Éva Belicza, K. Boda, L. Nagymajtényi

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective. To evaluate some factors, such as demographic factors, disease severity, dissemination of practice guidelines, and hospitals providing medical care, influencing the use of echocardiography among patients with congestive heart failure. Design. A 'before-after' controlled epidemiological study based on hospital documentation. Setting and participants. A total of 1222 admitted patients with a diagnosis of chronic heart failure from six voluntarily participating hospitals representing each level of in-patient care in Hungary. Interventions. Implementation of clinical practice guidelines about heart failure developed by the US Agency for Health Care Policy and Research. Results. The echocardiography was performed in slightly more than 50% of all cases in the total. The use of echocardiography was different according to age, sex, and hospitals, but no significant difference was found in disease severity and between the two periods of time (before and after the dissemination of the guidelines). Conclusions. This study reveals the existing differences in the use of echocardiography and the lack of essential changes after the dissemination of the guidelines. The distribution and implementation of guidelines needs further investigation.

Original languageEnglish
Pages (from-to)313-319
Number of pages7
JournalInternational Journal for Quality in Health Care
Volume14
Issue number4
DOIs
Publication statusPublished - 2002

Fingerprint

Echocardiography
Heart Failure
Guidelines
Practice Guidelines
United States Agency for Healthcare Research and Quality
Disease
Hungary
demographic factors
patient care
Documentation
medical care
documentation
Epidemiologic Studies
Patient Care
Demography
health care
lack

Keywords

  • Clinical practice guidelines
  • Echocardiography
  • Practice variations

ASJC Scopus subject areas

  • Nursing(all)
  • Health(social science)
  • Health Professions(all)
  • Public Health, Environmental and Occupational Health

Cite this

Use of echocardiography among patients with heart failure : Practice variations in Hungarian hospitals. / Paulik, Edit; Müller, Anna; Belicza, Éva; Boda, K.; Nagymajtényi, L.

In: International Journal for Quality in Health Care, Vol. 14, No. 4, 2002, p. 313-319.

Research output: Contribution to journalArticle

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