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Implementation of the asthma practice guideline in the Army Medical Department : evaluation of process and effects.

Contributor(s): Material type: TextTextCopyright date: ©2005Description: 1 online resource (xxxiv, 176 pages) : illustrationsContent type:
  • text
Media type:
  • computer
Carrier type:
  • online resource
ISBN:
  • 0833040731
  • 9780833040732
Subject(s): Genre/Form: Additional physical formats: Print version:: Implementation of the asthma practice guideline in the Army Medical Department.DDC classification:
  • 616.2/3806 22
LOC classification:
  • UH523 .I47 2005
NLM classification:
  • 2006 C-578
  • WF 553
Online resources: Other related works:
Contents:
Introduction -- Methods and data -- Asthma populations and practices at the baseline -- The guideline implementation process -- Effects of guideline implementation -- Synthesis of findings from the demonstration -- Appendix A. Hypotheses for effects of improved asthma care practices -- Appendix B. Evaluation methodology -- Appendix C. Modules of the climate survey -- Appendix D. Physician questionnaire -- Appendix E. Analyses of asthma metrics.
Summary: In partnership with the Army Medical Department (AMEDD), RAND researchers worked to implement clinical practice guidelines in treatment of three common ailments (asthma, diabetes, and low back pain). This report is an evaluation of the asthma practice guideline demonstration. It documents the extent to which intended actions were implemented, assesses short-term effects on clinical practices, and measures the quality and limitations of available data for monitoring practice improvements and clinical outcomes. The authors found that, although the implementation scored some notable successes, resource limitations and organizational barriers curbed overall progress. They conclude that allowing for flexibility, monitoring the facilities consistently, and training providers thoroughly are the keys to implementing the practice guidelines throughout AMEDD. The also concluded that patient education was an area in need of improvement.
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Item type Current library Call number URL Status Notes Date due Barcode
E-books E-books Hugenote College Main Campus Digital version Not for loan Only accessible on campus.

"Center for Military Health Policy Research."

"RAND Arroyo Center."

Includes bibliographical references (pages 173-176).

Introduction -- Methods and data -- Asthma populations and practices at the baseline -- The guideline implementation process -- Effects of guideline implementation -- Synthesis of findings from the demonstration -- Appendix A. Hypotheses for effects of improved asthma care practices -- Appendix B. Evaluation methodology -- Appendix C. Modules of the climate survey -- Appendix D. Physician questionnaire -- Appendix E. Analyses of asthma metrics.

In partnership with the Army Medical Department (AMEDD), RAND researchers worked to implement clinical practice guidelines in treatment of three common ailments (asthma, diabetes, and low back pain). This report is an evaluation of the asthma practice guideline demonstration. It documents the extent to which intended actions were implemented, assesses short-term effects on clinical practices, and measures the quality and limitations of available data for monitoring practice improvements and clinical outcomes. The authors found that, although the implementation scored some notable successes, resource limitations and organizational barriers curbed overall progress. They conclude that allowing for flexibility, monitoring the facilities consistently, and training providers thoroughly are the keys to implementing the practice guidelines throughout AMEDD. The also concluded that patient education was an area in need of improvement.

Army. DASW01-01-C-0003. AR200 5A02. Ar200 1007

Supersedes RAND/DRR-2872-A.

JSTOR Books at JSTOR Open Access

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