An electronic decision support-based complex intervention to improve management of cardiovascular risk in primary health care: a cluster randomised trial (INTEGRATE)

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The aim of this study was to determine whether a multifaceted primary health care intervention better controlled cardiovascular disease (CVD) risk factors in patients with high risk of CVD than usual care. The study concluded that the INTEGRATE intervention was not broadly implemented and did not improve CVD risk management in participating Australian general practices. This study demonstrates that implementing complex quality improvement initiatives is difficult. Process evaluation will provide further information about factors that hindered more widespread adoption of the intervention.

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