Improving adherence to treatment guidelines: A blueprint

Esteban Gandara, Thomas T. Moniz, Mary Lou Dolan, Caroline Melia, Jessica Dudley, Allen Smith, Allen Kachalia

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations


Patients with chronic diseases often require complex medication regimens to meet evidence-based treatment guidelines. However, translating evidence-based recommendations into clinical care has proven to be difficult. Several factors-patient adherence, disease complexity, competing medical issues, guideline dissemination, and clinical inertia-are thought to contribute to this problem. In this manuscript, we describe a multidisciplinary ambulatory approach to improve the care of patients with chronic conditions. Our goal was to design an intervention that focused on improving the prescription rates of medications known to reduce cardiovascular-related events and hospital admissions for patients with diabetes mellitus, coronary artery disease, heart failure, chronic kidney disease, or stroke. We also describe the critical lessons we have learned in implementing our intervention, including the successes and barriers we encountered during the project.

Original languageEnglish (US)
Pages (from-to)139-145
Number of pages7
JournalCritical Pathways in Cardiology
Issue number4
StatePublished - Dec 1 2009
Externally publishedYes


  • Chronic disease
  • Guideline adherence
  • Quality of health care

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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