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003    OCoLC 
005    20170927054547.4 
006    m     o  d         
007    cr un||||uuuuu 
008    071106s2005    caua    obst  000 0 eng d 
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       |a991988567 
020    9780833040732|q(electronic bk.) 
020    0833040731|q(electronic bk.) 
027    RAND/MG-319-A 
035    (OCoLC)180772629|z(OCoLC)163111454|z(OCoLC)170956928
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       |z(OCoLC)988441054|z(OCoLC)991988567 
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043    n-us--- 
049    CKEA 
050  4 UH523|b.I47 2005 
060  4 2006 C-578 
060  4 WF 553|bI355 2005 
082 04 616.2/3806|222 
245 00 Implementation of the asthma practice guideline in the 
       Army Medical Department :|bevaluation of process and 
       effects. 
264  1 Santa Monica, CA :|bRand,|c[2005] 
264  4 |c©2005 
300    1 online resource (xxxiv, 176 pages) :|billustrations 
336    text|btxt|2rdacontent 
337    computer|bc|2rdamedia 
338    online resource|bcr|2rdacarrier 
347    data file|2rda 
500    "RAND Arroyo Center." 
500    "Center for Military Health Policy Research." 
504    Includes bibliographical references (pages 173-176). 
505 0  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. 
520    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.
536    Army.|bDASW01-01-C-0003.|dAR200 5A02.|dAr200 1007 
580    Supersedes RAND/DRR-2872-A. 
610 10 United States.|bArmy|xMedical care|xStandards. 
610 10 United States.|bArmy Medical Department (1968- ) 
610 10 United States.|bArmy.|bMedical Department. 
650  0 Asthma|xTreatment|zUnited States|xEvaluation. 
650  0 Soldiers|xMedical care|zUnited States. 
650  7 MEDICAL|xPulmonary & Thoracic Medicine.|2bisacsh 
650  7 HEALTH & FITNESS|xDiseases|xRespiratory.|2bisacsh 
650  7 POLITICAL SCIENCE|xInternational Relations|xDiplomacy.
       |2bisacsh 
650 12 Asthma|xtherapy. 
650 12 Process Assessment, Health Care 
650 22 Case Management|xorganization & administration. 
650 22 Guideline Adherence. 
650 22 Military Medicine|xorganization & administration. 
655  2 Statistics. 
700 1  Farley, Donna. 
700 1  Cretin, Shan. 
700 1  Vernez, Georges. 
700 1  Pieklik, Suzanne. 
700 1  Dydek, George J. 
700 1  Quiter, Elaine S. 
700 1  Ashwood, J. Scott. 
700 1  Tu, Wenli. 
710 2  Arroyo Center. 
710 2  Center for Military Health Policy Research. 
710 2  Rand Corporation. 
710 1  United States.|bArmy. 
776 08 |iPrint version:|tImplementation of the asthma practice 
       guideline in the Army Medical Department.|dSanta Monica, 
       CA : Rand, ©2005|z0833037730|w(DLC)  2005006111
       |w(OCoLC)58468051 
787 1  |rRAND/DRR-2872-A 
914    ocn180772629 
994    92|bCKE