1. Research Unit of General Practice, Institute of Public Health, University of Southern Denmark Hypertension in General Practice – an APO-audit Jens Damsgaard Peter Schultz-Larsen, Lene Reuther, Lars Poulsen, Dorte Gilså Hansen Jens Søndergaard, Morten Andersen & Anders Munck

2. Research Unit of General Practice, Institute of Public Health, University of Southern Denmark Hypertension in General Practice Traditional APO-audit Part of a randomised study with control group Involvement of the patients through a questonaire Half of the practices will get the intervention activities after the second registration The cohorte of patients answering can be followed in various registers

3. Research Unit of General Practice, Institute of Public Health, University of Southern Denmark Background Estimated 800.000 persons in DK. (200 per GP) Half of them is diagnosed Half of them again is well treated Focus at the increasing lack of GP’s Need for more involvement of practice staff

4. Research Unit of General Practice, Institute of Public Health, University of Southern Denmark Objectives to improve diagnosing to improve treatment to Improve monitoring

5. Research Unit of General Practice, Institute of Public Health, University of Southern Denmark Methods “Eye-opening” through an APO-audit collection of data in own practice questionnaires to the patients participation in follow-up courses 184 practices with at average two doctors and one nurse from each clinic enrolled 7342 patients

6. Research Unit of General Practice, Institute of Public Health, University of Southern Denmark Items Duration Blood pressure in the clinic at home after self measurement Cardiovascular risk factors smoking, family history, hyperlipidemia, diabetes and others Cardiovascular events Apoplexia and coronary trombosis, Pharmacological treatment.

7. Research Unit of General Practice, Institute of Public Health, University of Southern Denmark

13. Number% Yes4427,7 No11371,1 Unknown21,3 Sum159100,0 Do your practice have written guidelines for the examination of hypertensive patients?

14. Research Unit of General Practice, Institute of Public Health, University of Southern Denmark Staff involvement

15. Research Unit of General Practice, Institute of Public Health, University of Southern Denmark The courses Result from doctors registration Result from the questionnaire Result from prescription database Treatment today Management today Measurement, calibration e.g. Prevention activities at municipality level

16. Research Unit of General Practice, Institute of Public Health, University of Southern Denmark Future Next registration is about to take place Actual blood pressure – same patients

17. Research Unit of General Practice, Institute of Public Health, University of Southern Denmark www.apo-danmark.dk