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Successful implementation of an evidence-based clinical practice guideline: acute dysuria/urgency in adult women. 成功实施循证临床实践指南:成年女性急性排尿困难/急症。
HMO practice Pub Date : 1997-12-01
M E Stuart, J Macuiba, F Heidrich, R G Farrell, M Braddick, S Etchison
{"title":"Successful implementation of an evidence-based clinical practice guideline: acute dysuria/urgency in adult women.","authors":"M E Stuart,&nbsp;J Macuiba,&nbsp;F Heidrich,&nbsp;R G Farrell,&nbsp;M Braddick,&nbsp;S Etchison","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper describes the development and successful implementation of an evidence-based clinical practice guideline dealing with uncomplicated urinary tract infection in adult women (acute dysuria guideline). This guideline was based on an evaluation and synthesis of the medical literature using the best available evidence. Following guideline implementation, clinical practice changes recommended by the guideline were observed, including a significant decrease in laboratory testing and clinic visits for acute dysuria. Successful implementation of this guideline is attributed to the use of an explicit, evidence-based guideline development process, a combination of implementation strategies including decision support for providers, and a change in the roles of registered nurses.</p>","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"11 4","pages":"150-7"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21046965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preventing adolescent pregnancy. 预防青少年怀孕。
HMO practice Pub Date : 1997-12-01
J Fine
{"title":"Preventing adolescent pregnancy.","authors":"J Fine","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"11 4","pages":"176-8"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21048058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
High hopes: better care for young families. 寄予厚望:为年轻家庭提供更好的照顾。
HMO practice Pub Date : 1997-12-01
N Smith
{"title":"High hopes: better care for young families.","authors":"N Smith","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"11 4","pages":"179-81"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21048059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diabetes care: an opportunity for collaboration. 糖尿病护理:合作的机会。
HMO practice Pub Date : 1997-12-01
S B Yox
{"title":"Diabetes care: an opportunity for collaboration.","authors":"S B Yox","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"11 4","pages":"164-7"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21056000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cost-effective management of group A streptococcal pharyngitis. A组链球菌性咽炎的成本效益管理。
HMO practice Pub Date : 1997-12-01
M E Ryan, S Ervin, P P Bourbeau, W J Malone
{"title":"Cost-effective management of group A streptococcal pharyngitis.","authors":"M E Ryan,&nbsp;S Ervin,&nbsp;P P Bourbeau,&nbsp;W J Malone","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"11 4","pages":"185-6"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21048061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sexual health of teens. 青少年性健康。
HMO practice Pub Date : 1997-12-01
M P Madwed
{"title":"Sexual health of teens.","authors":"M P Madwed","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"11 4","pages":"148-9"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21046964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Managed occupational health care in an HMO. 在HMO管理职业卫生保健。
HMO practice Pub Date : 1997-12-01
A Feldstein, G Marino
{"title":"Managed occupational health care in an HMO.","authors":"A Feldstein,&nbsp;G Marino","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper describes the efforts of an HMO to improve its delivery of occupational health services. Customer needs identification, occupational health structure, data systems, case management, clinical guidelines, and quality management are outlined. Our experience suggests that high-quality occupational health services can be integrated into managed care systems thereby offering cost-effective care to large numbers of workers. Comparing 1991 to 1995, physician authorization of total disability days was reduced 17.9% per disability case (p < .0001). Based on July 1994 to June 1995 Oregon State Accident Insurance Fund (SAIF Corporation) data, HMO average total claim cost was $916/claim representing respectively, a 21% and a 20% reduced cost compared to two PPO model programs (MCO 00 and MCO 01). Patient satisfaction data indicated that 90% of patients were satisfied or very satisfied with the physician they saw. The savings appear to be due to cost-effective treatment and rapid return to work.</p>","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"11 4","pages":"158-63"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21046966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ADA's (American Diabetes Association) provider recognition program. ADA(美国糖尿病协会)提供者认可计划。
HMO practice Pub Date : 1997-12-01
L Joyner, S McNeeley, R Kahn
{"title":"ADA's (American Diabetes Association) provider recognition program.","authors":"L Joyner,&nbsp;S McNeeley,&nbsp;R Kahn","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"11 4","pages":"168-70"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21046967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Physician development initiative: small group CME. 医师发展倡议:小组CME。
HMO practice Pub Date : 1997-12-01
D S Holland, J Defontes, M Klau, J Bruss, R Lehmer, M Sultan, M R Brody
{"title":"Physician development initiative: small group CME.","authors":"D S Holland,&nbsp;J Defontes,&nbsp;M Klau,&nbsp;J Bruss,&nbsp;R Lehmer,&nbsp;M Sultan,&nbsp;M R Brody","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"11 4","pages":"182-4"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21048060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Flexible sigmoidoscopy screening: patient acceptance. 软性乙状结肠镜筛查:患者接受度。
HMO practice Pub Date : 1997-09-01
Y M Trnka, C A Henderson
{"title":"Flexible sigmoidoscopy screening: patient acceptance.","authors":"Y M Trnka,&nbsp;C A Henderson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although compelling evidence is available that screening can reduce the risk of death from colon cancer, patient compliance with screening in the United States is poor. The objective of this study is to describe a program that uses patient education to improve patient acceptance of flexible sigmoidoscopy screening. Our program provides multiple opportunities for patients to ask questions and to receive information. Preliminary data show that this approach has resulted in a procedure acceptance rate of 81% of those referred in the first year of the program. Future research needs to focus on evaluating factors associated with noncompliance in colorectal cancer screening programs.</p>","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"11 3","pages":"130-3"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21046031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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