A primary care learning collaborative to improve office systems and clinical management of pediatric asthma
| Autor: | Christine A Pellegrino, Valerie S. Harder, Judith S. Shaw, Michael V Chmielewski, Barbara L. Frankowski, Keith J. Robinson, Stanley Weinberger, Kelly J Cowan |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Quality management Inservice Training Primary care Severity of Illness Index 03 medical and health sciences 0302 clinical medicine immune system diseases 030225 pediatrics Health care medicine Immunology and Allergy Humans Cooperative Behavior Intensive care medicine Pediatric asthma Asthma Primary Health Care business.industry Office systems Disease Management Collaborative learning medicine.disease Quality Improvement respiratory tract diseases Airway disease Logistic Models 030228 respiratory system Pediatrics Perinatology and Child Health Practice Guidelines as Topic business Vermont |
| Zdroj: | The Journal of asthma : official journal of the Association for the Care of Asthma. 58(3) |
| ISSN: | 1532-4303 |
| Popis: | Pediatric asthma is a common, relapsing-remitting, chronic inflammatory airway disease that when uncontrolled often leads to substantial patient and health care system burden. Improving management of asthma in primary care can help patients stay well controlled.The Vermont Child Health Improvement Program (VCHIP) developed a quality improvement (QI) learning collaborative with a primary objective to improve clinical asthma management measures through improvement in primary care office systems to support asthma care. Seven months of medical record review data were evaluated for improvements on eight clinical asthma management measures. Pre and post office systems inventory (OSI) self-assessments detailing adherence to improvement strategies were analyzed for improvement. Logistic regressions were used to test for associations between OSI strategy post scores and the corresponding clinical asthma management measures by month seven.This study found significant improvement from baseline to month seven on seven of the eight clinical asthma management measures and between pre and post OSI for seven of the nine strategies assessed (A QI learning collaborative approach in primary care can improve office systems and corresponding clinical management measures for pediatric patients with asthma. This suggests that linking specific office systems strategies to clinical measures may be a helpful tactic within the learning collaborative model. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|