Learning implementation of a guideline based decision support system to improve hypertension treatment in primary care in China: pragmatic cluster randomised controlled trial.

ABSTRACT:

Objective

To evaluate the effectiveness of a clinical decision support system (CDSS) in improving the use of guideline accordant antihypertensive treatment in primary care settings in China.

Design

Pragmatic, open label, cluster randomised trial.

Setting

94 primary care practices in four urban regions of China between August 2019 and July 2022: Luoyang (central China), Jining (east China), and Shenzhen (south China, including two regions).

Participants

94 practices were randomised (46 to CDSS, 48 to usual care). 12 137 participants with hypertension who used up to two classes of antihypertensives and had a systolic blood pressure <180 mm Hg and diastolic blood pressure <110 mm Hg were included.

Interventions

Primary care practices were randomised to use

SUBMITTER: Song J 

PROVIDER: S-EPMC11265211 | biostudies-literature | 2024 Jul

REPOSITORIES: biostudies-literature