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

Publication Info. Santa Monica, CA : Rand, [2005]


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Description 1 online resource (xxxiv, 176 pages) : illustrations
data file rda
Note "RAND Arroyo Center."
"Center for Military Health Policy Research."
Bibliography Includes bibliographical references (pages 173-176).
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.
Funding Army. DASW01-01-C-0003. AR200 5A02. Ar200 1007
Linking Entry Supersedes RAND/DRR-2872-A.
Subject United States. Army -- Medical care -- Standards.
United States. Army Medical Department (1968- )
United States. Army. Medical Department.
Asthma -- Treatment -- United States -- Evaluation.
Soldiers -- Medical care -- United States.
Asthma -- therapy.
Process Assessment, Health Care
Case Management -- organization & administration.
Guideline Adherence.
Military Medicine -- organization & administration.
MEDICAL -- Pulmonary & Thoracic Medicine.
HEALTH & FITNESS -- Diseases -- Respiratory.
POLITICAL SCIENCE -- International Relations -- Diplomacy.
Genre/Form Statistics.
Added Author 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. Army.
Other Form: Print version: Implementation of the asthma practice guideline in the Army Medical Department. Santa Monica, CA : Rand, ©2005 0833037730 (DLC) 2005006111 (OCoLC)58468051
Related To RAND/DRR-2872-A
ISBN 9780833040732 (electronic bk.)
0833040731 (electronic bk.)
Report No. RAND/MG-319-A
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