Document Information
Implementation of the Diabetes Practice Guideline in the Army Medical Department
Final Evaluation
In partnership with the Army Medical Department (AMEDD), RAND researchers have been working to implement clinical practice guidelines in treatment of three common ailments (diabetes, asthma, and low back pain). This report is an evaluation of the diabetes 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, providing adequate resources, and learning from experience are the keys to implementing practice guidelines throughout AMEDD.
Support RAND Research — Buy This Product!
Paperback Cover Price: $24.00
Discounted Web Price: $21.60
Pages: 180
ISBN/EAN: 0-8330-3769-2
Free, downloadable PDF file(s) are available below.
RAND makes an electronic version of this document available for free as a public service. If you find this information valuable, please consider purchasing a paper copy of the full document to help support RAND research.
Use Adobe Acrobat Reader version 7.0 or higher for the best experience.
Contents
Chapter One:
Introduction
Chapter Two:
Methods and Data
Chapter Three:
Diabetic Population and Practices at the Baseline
Chapter Four:
The Guideline Implementation Process
Chapter Five:
Effects of Guideline Implementation
Chapter Six:
Syntheses of Findings from the Demonstration
Appendix A:
Evaluation Methodology
Appendix B:
Analyses of Diabetes Metrics
Appendix C:
Graphic Representation of Baseline Service Use Data
The research described in this report was sponsored by the United States Army and conducted by the RAND Arroyo Center.
This product is part of the RAND Corporation monograph series. RAND monographs present major research findings that address the challenges facing the public and private sectors. All RAND monographs undergo rigorous peer review to ensure high standards for research quality and objectivity.
Permission is given to duplicate this electronic document for personal use only, as long as it is unaltered and complete. Copies may not be duplicated for commercial purposes. Unauthorized posting of RAND PDFs to a non-RAND Web site is prohibited. RAND PDFs are protected under copyright law. For information on reprint and linking permissions, please visit the RAND Permissions page.
The RAND Corporation is a nonprofit research organization providing objective analysis and effective solutions that address the challenges facing the public and private sectors around the world. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.
* RAND research is conducted across divisions, centers, and projects; these organizational components are represented in the "Related RAND Divisions" section above.
Top
RAND® is a registered trademark. Copyright © 1994-2008 RAND Corporation. Last Modified: December 07, 2007 