Abstract
For more than a decade, there has been an effort to reduce unintended variations in care and improve clinical outcomes through the widespread development and dissemination of clinical practice guidelines yet a substantial body of literature suggests that few guidelines have been fully adopted into clinical practice. This manuscript describes the design of a group randomized controlled clinical trial to test two alternative strategies for promoting the adoption of asthma clinical guidelines: a peer-leader mediated physician behavior change intervention, and an intervention which applies the chronic disease model to structuring asthma care, including an asthma nurse educator compared to usual care. It is anticipated that the findings from this study will assist health care organizations in designing practical evidence-based strategies to improve the care of persons with asthma.
Original language | English (US) |
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Pages (from-to) | 265-282 |
Number of pages | 18 |
Journal | Health Services and Outcomes Research Methodology |
Volume | 4 |
Issue number | 4 |
DOIs | |
State | Published - Dec 2003 |
Funding
The Pediatric Asthma Care PORT (Patient Outcomes Research Team) is funded by the Agency for Healthcare Quality and Research and the National Heart, Lung, and Blood Institute, (grant #HS08368).
Keywords
- Asthma case management
- Chronic care
- Clinical practice guidelines
- Disease management
- Guideline implementation
- Self-management
ASJC Scopus subject areas
- Health Policy
- Public Health, Environmental and Occupational Health