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

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

Contributor
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
Language
eng
Work
Publication
Extent
1 online resource (xxxiv, 176 pages)
Note
  • "RAND Arroyo Center."
  • "Center for Military Health Policy Research."
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
Isbn
9780833040732
Instance
Label
Implementation of the asthma practice guideline in the Army Medical Department : evaluation of process and effects
Title
Implementation of the asthma practice guideline in the Army Medical Department
Title remainder
evaluation of process and effects
Contributor
Subject
Genre
Language
eng
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
Note
Supersedes RAND/DRR-2872-A.
Related
Member of
Cataloging source
MUX
Dewey number
616.2/3806
Funding information
Army.
Illustrations
illustrations
Index
no index present
LC call number
UH523
LC item number
.I47 2005
Literary form
non fiction
Nature of contents
  • dictionaries
  • bibliography
  • statistics
  • technical reports
NLM call number
  • 2006 C-578
  • WF 553
NLM item number
I355 2005
http://library.link/vocab/relatedWorkOrContributorName
  • Farley, Donna
  • Cretin, Shan
  • Vernez, Georges
  • Pieklik, Suzanne
  • Dydek, George J
  • Quiter, Elaine S
  • Ashwood, J. Scott
  • Tu, Wenli
  • Arroyo Center
  • Center for Military Health Policy Research
  • Rand Corporation
  • United States
http://library.link/vocab/subjectName
  • United States
  • United States
  • Asthma
  • Soldiers
  • United States
  • Asthma
  • Process Assessment, Health Care
  • Case Management
  • Guideline Adherence
  • Military Medicine
  • United States
  • United States
  • MEDICAL
  • HEALTH & FITNESS
  • POLITICAL SCIENCE
  • Soldiers
  • United States
Label
Implementation of the asthma practice guideline in the Army Medical Department : evaluation of process and effects
Instantiates
Publication
Copyright
Note
  • "RAND Arroyo Center."
  • "Center for Military Health Policy Research."
Antecedent source
unknown
Bibliography note
Includes bibliographical references (pages 173-176)
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
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
Control code
180772629
Dimensions
unknown
Extent
1 online resource (xxxiv, 176 pages)
File format
unknown
Form of item
online
Isbn
9780833040732
Lccn
2005006111
Level of compression
unknown
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustrations
http://library.link/vocab/ext/overdrive/overdriveId
22573/cttjc7h
Quality assurance targets
unknown
Reformatting quality
unknown
Specific material designation
remote
System control number
(OCoLC)180772629
Label
Implementation of the asthma practice guideline in the Army Medical Department : evaluation of process and effects
Publication
Copyright
Note
  • "RAND Arroyo Center."
  • "Center for Military Health Policy Research."
Antecedent source
unknown
Bibliography note
Includes bibliographical references (pages 173-176)
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
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
Control code
180772629
Dimensions
unknown
Extent
1 online resource (xxxiv, 176 pages)
File format
unknown
Form of item
online
Isbn
9780833040732
Lccn
2005006111
Level of compression
unknown
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustrations
http://library.link/vocab/ext/overdrive/overdriveId
22573/cttjc7h
Quality assurance targets
unknown
Reformatting quality
unknown
Specific material designation
remote
System control number
(OCoLC)180772629

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