Effectiveness of quality improvement interventions in improving cardiovascular disease-related outcomes in primary and tertiary care: A systematic review and meta-analyses

作者：Nashid Hafiz, Karice Hyun, Qiang Tu, Deborah Manandi, Wendan Shi, Tim Usherwood, Julie Redfern · 发表于：BMC Family Practice · 年份：2025 · DOI：10.1186/s12875-025-03006-6 · 被引用次数：1 · 研究领域：Health Policy Implementation Science、Primary Care and Health Outcomes、Diabetes Management and Education

BACKGROUND: Quality improvement strategies are increasingly being used across all healthcare settings to improve patient outcomes. However, the effectiveness of QI interventions in improving the care of cardiovascular (CVD) disease remains unclear. More evidence is needed to determine whether QI interventions can improve CVD medication use, manage risk factors, and enhance clinical outcomes. Therefore, this study aimed to systematically assess the effectiveness of QI interventions in improving CVD-related outcomes in both primary and tertiary healthcare services. METHODS: Six databases (Medline, Embase, PsycINFO, CENTRAL, CINAHL, and Scopus) were systematically searched for randomised and cluster randomised controlled trials from inception to 21st January 2025. Studies were included if they were randomised trials, included people with CVD, implemented a QI intervention focused on improving CVD care in either primary care services and hospitals, and measured at least one of the following outcomes: prescribed guideline-recommended CVD medications, risk factors, and clinical events. Three authors independently screened articles and extracted data from eligible studies. A random-effects model was used to estimate the pooled effects. RESULTS: Eighteen studies involving 438,285 individuals with CVD (72% male, pooled mean age [standard deviation]: 61.7 [12.8]). Commonly identified QI strategies were feedback reports (83%), decision support tools (72%), and QI teams (50%). Meta-analy...