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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

The cycle of quality as a model for improving health outcomes in the treatment of hypertension

Robert M. Califf

Director, Duke Translational Medicine Institute, Duke University Medical Center, 2400 Pratt Street, Box 17969, Durham, NC 27715, USA

Corresponding author. Tel: +1 919 668 8820; fax: +1 919 668 7058. E-mail address: calif001{at}mc.duke.edu

Considerable progress has been made in diagnosing and treating chronic diseases such as hypertension. However, ongoing improvements in methods for characterizing the impact of long-term diseases provide strong evidence that a substantial gap still exists between knowledge and its successful application. We have developed a conceptual model for improving healthcare outcomes, known as the ‘cycle of quality’, which enables clinicians, researchers, and administrators to develop new knowledge bases and put new treatment strategies into practice, while also allowing continuous feedback and education from measurement of the results of these therapeutic approaches. We discuss the application of the cycle of quality to the treatment and prevention of hypertension in the specific context of a programme exploring a community-oriented approach to healthcare.

Key Words: Hypertension • Quality • Outcomes • Cycle of quality


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