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  • 1
    UID:
    almafu_9958279152102883
    Umfang: 1 online resource (xxxiv, 176 pages) : , illustrations
    Ausgabe: 1st ed.
    Inhalt: 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
    Anmerkung: Description based upon print version of record. , Preface; Contents; Figures; Tables; Summary; Acknowledgments; Abbreviations; CHAPTER ONE- Introduction; Overview of the Military Health System; The DoD/VA Guideline Adaptation Process; The AMEDD-RAND Guideline Implementation Project; Overview of the Asthma Practice Guideline; A Systems Approach to Implementation; The AMEDD Guideline Implementation Process; The Demonstration Sites; The RAND Evaluation; Organization of This Report; CHAPTER TWO- Methods and Data; Process Evaluation Methods; Outcome Evaluation; Estimating the Costs of Care , CHAPTER THREE- Asthma Populations and Practices at the Baseline The Asthma Population Served by Army MTFs; Baseline Performance on Asthma Care Measures at the Study MTFs; Summary; CHAPTER FOUR- The Guideline Implementation Process; MEDCOM Support; Structure and Support at the MTFs; Implementation Activities and Progress; Lessons Learned; CHAPTER FIVE- Effects of Guideline Implementation; Provider Knowledge and Acceptance of the Guideline; Reported Changes in Clinical Practices; Analysis of Effects on Service Delivery; Estimated Costs of Care; Summary , CHAPTER SIX- Synthesis of Findings from the Demonstration Findings on the Implementation Process; Effects of Implementing Practice Improvements; Data Issues; Recommendations; 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; Bibliography , English
    Weitere Ausg.: ISBN 0-8330-4073-1
    Weitere Ausg.: ISBN 0-8330-3773-0
    Sprache: Englisch
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 2
    UID:
    gbv_1658382684
    Umfang: 1 online resource (211 pages)
    Ausgabe: 1st ed.
    ISBN: 9780833040732
    Inhalt: Can the Army effectively implement clinical treatment guidelines in its military treatment facilities to achieve consistent and high-quality practices throughout its health system?.
    Inhalt: Intro -- Preface -- Contents -- Figures -- Tables -- Summary -- Acknowledgments -- Abbreviations -- CHAPTER ONE- Introduction -- Overview of the Military Health System -- The DoD/VA Guideline Adaptation Process -- The AMEDD-RAND Guideline Implementation Project -- Overview of the Asthma Practice Guideline -- A Systems Approach to Implementation -- Basic Implementation Strategy -- Six Critical Success Factors for Implementation -- The AMEDD Guideline Implementation Process -- The Demonstration Sites -- The RAND Evaluation -- Organization of This Report -- CHAPTER TWO- Methods and Data -- Process Evaluation Methods -- Climate Survey -- Evaluation Site Visits -- Monthly Reports -- Outcome Evaluation -- Hypotheses for Effects of Implementation of the Asthma Guideline -- Evaluation Design -- Choice of Demonstration and Control Sites -- The Asthma Population -- Data Sources -- Outcome Measures -- Definition of Key Variables -- Analytic Methods -- Estimating the Costs of Care -- CHAPTER THREE- Asthma Populations and Practices at the Baseline -- The Asthma Population Served by Army MTFs -- Characteristics of the Total Asthma Population -- Enrollment Status and Use of MTF Services -- Baseline Performance on Asthma Care Measures at the Study MTFs -- Summary -- CHAPTER FOUR- The Guideline Implementation Process -- MEDCOM Support -- The Kickoff Conference -- The Asthma Toolkit -- Information Exchange -- Structure and Support at the MTFs -- The MTF Environment -- Baseline Climate for Guideline Implementation -- Support for the Demonstration -- Implementation Activities and Progress -- Implementation Strategies -- The Implementation Process and Activities -- Lessons Learned -- MEDCOM Support -- Support at the MTF -- CHAPTER FIVE- Effects of Guideline Implementation -- Provider Knowledge and Acceptance of the Guideline -- Reported Changes in Clinical Practices.
    Anmerkung: Description based on publisher supplied metadata and other sources
    Weitere Ausg.: ISBN 9780833037732
    Weitere Ausg.: Erscheint auch als Druck-Ausgabe ISBN 9780833037732
    Sprache: Englisch
    URL: Volltext  (lizenzpflichtig)
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
    BibTip Andere fanden auch interessant ...
  • 3
    UID:
    gbv_1008649937
    Umfang: 1 Online-Ressource (xxxiv, 176 pages)
    ISBN: 9780833037732 , 0833040731 , 0833037730 , 9780833040732
    Inhalt: 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
    Inhalt: 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
    Anmerkung: "RAND Arroyo Center , "Center for Military Health Policy Research , Includes bibliographical references (pages 173-176) , Supersedes RAND/DRR-2872-A
    Weitere Ausg.: ISBN 0833037730
    Weitere Ausg.: Druck-Ausgabe
    Weitere Ausg.: Erscheint auch als Druck-Ausgabe Implementation of the asthma practice guideline in the Army Medical Department Santa Monica, CA : Rand, ©2005
    Sprache: Englisch
    Schlagwort(e): Electronic book ; Statistics
    URL: Volltext  (kostenfrei)
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
    BibTip Andere fanden auch interessant ...
  • 4
    UID:
    gbv_187780472X
    Umfang: 1 Online-Ressource
    ISBN: 9780833040732 , 9780833037732
    Inhalt: In partnership with the Army Medical Department, RAND worked to implement clinical practice guidelines. This report evaluates the asthma guideline demonstration. It documents the actions, assesses effects, and measures the quality and limitations of data for monitoring outcomes. The authors found that the implementation scored successes but resource limitations and organizational barriers curbed progress. They conclude that flexibility, monitoring, and training are the keys to implementing the guidelines. They also found that patient education needed improvement
    Anmerkung: English
    Weitere Ausg.: Erscheint auch als Druck-Ausgabe Implementation of the asthma practice guideline in the Army Medical Department Santa Monica, CA : Rand, ©2005 ISBN 0833037730
    Sprache: Unbestimmte Sprache
    Schlagwort(e): Statistics
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
    BibTip Andere fanden auch interessant ...
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