Translating CKD Research into Primary Care Practice: a Group-Randomized Study
| Autor: | Paul J. Nietert, Andrea M. Wessell, Cara B. Litvin, Steven M. Ornstein, Lynne S. Nemeth, Ruth G. Jenkins |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Quality management Psychological intervention MEDLINE Disease urologic and male genital diseases 01 natural sciences law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Intervention (counseling) Internal Medicine medicine Diabetes Mellitus Humans Mass Screening 030212 general & internal medicine 0101 mathematics Renal Insufficiency Chronic Original Research Primary Health Care business.industry 010102 general mathematics medicine.disease Emergency medicine Hypertension Albuminuria medicine.symptom business Kidney disease |
| Zdroj: | J Gen Intern Med |
| Popis: | BACKGROUND: Chronic kidney disease (CKD) is common in the primary care setting. Early interventions may prevent progression of renal disease and reduce risk for cardiovascular complications, yet quality gaps have been documented. Successful approaches to improve identification and management of CKD in primary care are needed. OBJECTIVE: To assess whether implementation of a primary care improvement model results in improved identification and management of CKD DESIGN: 18-month group-randomized study PARTICIPANTS: 21 primary care practices in 13 US states caring for 107,094 patients INTERVENTIONS: To promote implementation of CKD improvement strategies, intervention practices received clinical quality measure (CQM) reports at least quarterly, hosted an on-site visit and 2 webinars, and sent clinician/staff representatives to a “best practice” meeting. Control practices received CQM reports at least quarterly. MAIN MEASURES: Changes in practice adherence to a set of 11 CKD CQMs KEY RESULTS: We observed significantly greater improvements among intervention practices for annual screening for albuminuria in patients with diabetes or hypertension (absolute change 22% in the intervention group vs. − 2.6% in the control group, p |
| Databáze: | OpenAIRE |
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