TY - JOUR
T1 - Improving adherence to treatment guidelines
T2 - A blueprint
AU - Gandara, Esteban
AU - Moniz, Thomas T.
AU - Dolan, Mary Lou
AU - Melia, Caroline
AU - Dudley, Jessica
AU - Smith, Allen
AU - Kachalia, Allen
PY - 2009/12/1
Y1 - 2009/12/1
N2 - 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.
AB - 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.
KW - Chronic disease
KW - Guideline adherence
KW - Quality of health care
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U2 - 10.1097/HPC.0b013e3181bc8074
DO - 10.1097/HPC.0b013e3181bc8074
M3 - Review article
C2 - 19952547
AN - SCOPUS:75949090900
SN - 1535-282X
VL - 8
SP - 139
EP - 145
JO - Critical Pathways in Cardiology
JF - Critical Pathways in Cardiology
IS - 4
ER -