The Ambulatory Care Medical Audit Demonstration Project
Research Design
Bibliographic Data
| ID | 9103812 |
|---|---|
| Authors | R Heather Palmer (Massachusetts Department of Public Health), J Lee Hargraves (0000-0003-2699-4405, Massachusetts Department of Public Health) |
| Year | 1996 |
| Volume | 34 |
| Issue | Supplement |
| Pages | 12-28 |
| Publication date | 1996-09-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-199609002-00003 |
| PMID | 8792786 |
| OpenAlex | W60123194 |
| Language | EN |
| Citations received | 7 |
| References cited | 9 |
The authors describe the design of and statistical analyses involved in the Ambulatory Care Medical Audit Demonstration Project, which tested feasibility, cost, and effectiveness of cycles that met quality assurance requirements in eight pediatric and eight general medicine group practices at four teaching hospitals and six health centers. The authors used a concurrent crossover design using randomized cycles of quality assurance so that a practice was a control site for one guideline and an experimental site for another. For 12 months before and 18 months during and after quality assurance experimental interventions, the authors measured practitioner conformance to review criteria for patient-care guidelines believed to improve outcomes, including four internal medicine patient-care guidelines (ie, follow-up of low hematocrit, cancer screening for women, follow-up of high serum glucose, and monitoring of patients treated with digoxin) and four pediatric patient-care guidelines (ie, follow-up of positive urine cultures, screening for disease and immunizing infants, management of acute gastroenteritis, and management of acute ear infection). The authors distinguished review criteria whose performance depended on personal efforts of practitioners from those that concerned performance dependent on the practice's system for reporting test results and calling patients to return for care
Ambulatory · Ambulatory care · Audit · Disease · Disease management · Family medicine · Guideline · Health care · Intensive care medicine · Management system · MEDLINE · Psychological intervention · Quality assurance · Quality management · Randomized controlled trial · Test (biology) · Clinical practice guidelines implementation · Emergency Medicine · Internal Medicine · Medicine · Nursing · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes
What Makes Quality Assurance Effective
Consistency in Performance Among Primary Care Practitioners
Practice Characteristics and Performance of Primary Care Practitioners
Are Differences in Practitioners' Acceptance of a Quality Assurance Intervention Related to Their Performance
Quality Improvement Among Primary Care Practitioners
How Valid Are Medical Records and Patient Questionnaires for Physician Profiling and Health Services Research
Issues of Variability and Bias Affecting Multisite Measurement of Quality of Care
| Citations per year | 0.23 |
|---|---|
| Citation span | 1996 - 1998 (3) |
| Highly cited | No |