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. - Santa Monica, CA : Rand, ©2005. - 1 online resource (xxxiv, 176 pages) : illustrations

"RAND Arroyo Center." "Center for Military Health Policy Research."

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.

Supersedes RAND/DRR-2872-A.

9780833040732 (electronic bk.) 0833040731 (electronic bk.) 9780833037565 (online) 0833037560

RAND/MG-319-A

22573/cttjc7h JSTOR


United States. Army --Medical care--Standards.
United States. Army Medical Department (1968- )
United States Army Medical Department
États-Unis. Army --Soins médicaux--Normes.
United States. Army.
United States. Army Medical Department (1968- )


Asthma--Treatment--Evaluation.--United States
Soldiers--Medical care--United States.
Asthma--therapy
Process Assessment, Health Care
Case Management--organization & administration
Guideline Adherence
Military Medicine--organization & administration
Asthme--Traitement--Évaluation.--États-Unis
MEDICAL--Pulmonary & Thoracic Medicine.
HEALTH & FITNESS--Diseases--Respiratory.
POLITICAL SCIENCE--International Relations--Diplomacy.
Soldiers--Medical care.


United States.


Statistics
Electronic books.
Statistics.
Statistics.
Statistiques.

UH523 / .I47 2005

616.2/3806

2006 C-578 WF 553 / I355 2005

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