Implementation of the Asthma Practice Guideline in the Army Medical Department
Evaluation of Process and Effects
Download
Download eBook for Free
Full Document
| Format | File Size | Notes |
|---|---|---|
| PDF file | 1.2 MB | Use Adobe Acrobat Reader version 10 or higher for the best experience. |
Summary Only
| Format | File Size | Notes |
|---|---|---|
| PDF file | 0.2 MB | Use Adobe Acrobat Reader version 10 or higher for the best experience. |
Purchase
Purchase Print Copy
| Format | List Price | Price | |
|---|---|---|---|
| Add to Cart | Paperback210 pages | $30.00 | $24.00 20% Web Discount |
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.
Table of Contents
Chapter One
Introduction
Chapter Two
Introduction
Chapter Three
Asthma Populations and Practices at the Baseline
Chapter Four
The Guideline Implementation Process
Chapter Five
Effects of Guideline Implementation
Chapter Six
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
Research conducted by
The research described in this report was sponsored by the United States Army and conducted by the RAND Arroyo Center.
This report 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.
This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit www.rand.org/pubs/permissions.
The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.