TY - BOOK AU - Farley,Donna AU - Cretin,Shan AU - Vernez,Georges AU - Pieklik,Suzanne AU - Dydek,George J. AU - Quiter,Elaine S. AU - Ashwood,J.Scott AU - Tu,Wenli ED - Arroyo Center. ED - Center for Military Health Policy Research. ED - Rand Corporation. ED - United States. TI - Implementation of the asthma practice guideline in the Army Medical Department: evaluation of process and effects SN - 9780833040732 AV - UH523 .I47 2005 U1 - 616.2/3806 22 PY - 2005/// KW - United States KW - Army KW - Medical care KW - Standards KW - Army Medical Department (1968- ) KW - Army Medical Department KW - États-Unis KW - Soins médicaux KW - Normes KW - fast KW - Asthma KW - Treatment KW - Evaluation KW - Soldiers KW - therapy KW - Process Assessment, Health Care KW - Case Management KW - organization & administration KW - Guideline Adherence KW - Military Medicine KW - Asthme KW - Traitement KW - Évaluation KW - MEDICAL KW - Pulmonary & Thoracic Medicine KW - bisacsh KW - HEALTH & FITNESS KW - Diseases KW - Respiratory KW - POLITICAL SCIENCE KW - International Relations KW - Diplomacy KW - Statistics KW - Electronic books KW - lcgft KW - Statistiques KW - rvmgf N1 - "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 N2 - 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 UR - https://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&AN=197622 ER -