Clinical Audit Management of Arterial Hypertenison in the PHC
Abstract:
Arterial hypertension is a major public health concern associated with significant morbidity and mortality. Effective management in Primary Health Care (PHC) is essential to reduce cardiovascular risk and improve patient outcomes. This clinical audit evaluated the management of arterial hypertension at the Main Family Health Center (MFHC) in Gjakova, in accordance with the Ministry of Health–approved National Clinical Protocol. A prospective audit was conducted over a three-month period (August–October 2024), including 367 adult patients diagnosed with arterial hypertension. Data were collected using standardized audit forms and analyzed to assess compliance with predefined structural and process-related quality indicators. Results demonstrated full compliance (100%) with structural criteria, including the availability of clinical protocols and essential medical equipment. However, process indicators showed variable performance. Blood pressure measurement was performed in 97.5% of patients, while body weight and height measurements met or exceeded target levels. In contrast, Body Mass Index (BMI) documentation (55.6%), routine laboratory testing (39.5%), adherence to pharmacological treatment algorithms (35.1%), and referral according to protocol criteria (33.8%) fell below predefined targets. The audit concludes that while infrastructure and basic clinical assessments are satisfactory, improvements are needed in protocol adherence, documentation, laboratory investigation practices, and pharmacological management. Targeted training, strengthened supervision, and a planned re-audit are recommended to enhance the quality and standardization of hypertension management in PHC.
