Evaluation of an Academic Detailing Program to Improve Blood Pressure Measurement and Hypertension Treatment in Urban Community Health Centers.

IF 1.6 4区 教育学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES
Michael Holliday, Alexandra Burnett, Molly Leavitt, Jackie Knapke, Daniel Hargraves, Harini Pallerla
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Abstract

Introduction: Hypertension is estimated at a prevalence of 30 to 50% in the United States. Only 54% of patients with hypertension have their condition adequately controlled. This study aimed to use academic detailing (AD) to improve practice team knowledge and confidence in blood pressure (BP) management, specifically in low-income, underresourced patient populations.

Methods: AD was developed for five practices that care for high percentages of Medicaid-eligible patients. A needs assessment was administered to each site's practice champion to determine high-yield AD sessions for their team. Presession and postsession evaluations were completed by practice team members.

Results: Fifty providers and eight staff member participants completed evaluations over nine sessions for two AD topics at four practice sites. Statistical significance was found for several items within sessions including accurately choosing cuff sizes and identifying barriers to home BP monitoring.

Discussion: AD is a potentially financially efficient model to improve knowledge and confidence in hypertension care at the practice level. Tailoring session content to specific needs of a practice site, along with an identified practice champion, facilitated implementation of the program. This replicable model is one way to deliver evidence-based information to those who serve Medicaid-eligible patients.

对改善城市社区卫生中心血压测量和高血压治疗的学术详细计划的评价。
在美国,高血压的患病率估计为30 - 50%。只有54%的高血压患者的病情得到了充分控制。本研究旨在利用学术细节(AD)来提高实践团队对血压(BP)管理的知识和信心,特别是在低收入、资源不足的患者群体中。方法:AD是为五个实践开发的,照顾高百分比的医疗补助合格患者。对每个站点的实践冠军进行需求评估,以确定他们团队的高产AD会议。课前和课后评估由实践小组成员完成。结果:50名提供者和8名工作人员参与者在四个实践地点完成了两个AD主题的九个会议的评估。在会话中,包括准确选择袖带大小和识别家庭血压监测障碍在内的几个项目发现了统计学意义。讨论:AD是一种潜在的经济有效的模式,可以在实践水平上提高对高血压护理的认识和信心。根据练习场地的具体需求定制课程内容,并与确定的练习冠军一起,促进了该计划的实施。这种可复制的模式是向那些为符合医疗补助条件的患者服务的人提供循证信息的一种方式。
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来源期刊
CiteScore
3.00
自引率
16.70%
发文量
85
审稿时长
>12 weeks
期刊介绍: The Journal of Continuing Education is a quarterly journal publishing articles relevant to theory, practice, and policy development for continuing education in the health sciences. The journal presents original research and essays on subjects involving the lifelong learning of professionals, with a focus on continuous quality improvement, competency assessment, and knowledge translation. It provides thoughtful advice to those who develop, conduct, and evaluate continuing education programs.
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