Dataset Information

A qualitative study of processes used to implement evidence-based care in a primary care practice.

ABSTRACT:

Background

Evidence-based guidelines for care of coronary heart disease patients are not fully implemented. Primary care practices provide most of the care for these patients.

Objective

To learn how providers and staff in a busy primary care practice implement interventions to provide evidence-based care of coronary heart disease patients.

Methods

We conducted a qualitative analysis of the responses to open-ended questions in nine electronically administered bimonthly surveys of key physicians, clinic staff and managers in the practice.

Results

Ten to 16 (mean=12.3) personnel responded to each survey. Nearly 30% were physicians and 40.5% were clinic staff. Four major themes emerged from the qualitative analysis: (i) giving data about not-at-goal patients to providers for care plan development; (ii) developing team roles and defining tasks; (iii) providing patient care and implementing care plans and (iv) providing technology support to generate useful, accurate data. The frequency that the subthemes were mentioned varied from survey to survey, but their mention persisted over the entire time of all nine surveys.

Conclusions

Developing a system for implementing evidence-based care involves considerations of roles and teamwork, technology use to develop a patient registry and obtain needed clinical data, care processes for pre-visit planning, and between-visit care management. A registered nurse care manager is a central figure in implementing and sustaining the process. Implementing evidence-based guidelines is an ongoing process of revision, retraining and reinforcement.

SUBMITTER: Huebsch JA

PROVIDER: S-EPMC4592325 | biostudies-literature | 2015 Oct

REPOSITORIES: biostudies-literature

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Publications

A qualitative study of processes used to implement evidence-based care in a primary care practice.

Huebsch Jacquelyn A JA Kottke Thomas E TE McGinnis Paul P Nichols Jolleen J Parker Emily D ED Tillema Juliana O JO Hanson Ann M AM

Family practice 20150618 5

<h4>Background</h4>Evidence-based guidelines for care of coronary heart disease patients are not fully implemented. Primary care practices provide most of the care for these patients.<h4>Objective</h4>To learn how providers and staff in a busy primary care practice implement interventions to provide evidence-based care of coronary heart disease patients.<h4>Methods</h4>We conducted a qualitative analysis of the responses to open-ended questions in nine electronically administered bimonthly surve ...[more]

PMID: 26089298

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Dataset Information

A qualitative study of processes used to implement evidence-based care in a primary care practice.

Background

Objective

Methods

Results

Conclusions

Publications

A qualitative study of processes used to implement evidence-based care in a primary care practice.

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