Implementing a palm pilot intervention for primary care providers: lessons learned.

Implementing a palm pilot intervention for primary care providers: lessons learned.
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对初级保健提供者实施棕榈试点干预:经验教训。

DOI:
10.1016/j.cct.2009.03.009
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发表时间:
2009
影响因子:
2.2
通讯作者:
Bonds,DeniseE
Bonds,DeniseE
中科院分区:
医学4区
文献类型:
--
作者:
Rosenberger,EricaL;GoffJr,DavidC;Blackwell,CarolineS;Williams,DustinT;Crago,OLenore;Ellis,ShellieD;Bertoni,AlainG;Bonds,DeniseE

文献摘要

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The Personal Digital Assistance for Guideline Adherence (GLAD Heart) study was designed to test a strategy to improve quality of care through increased adherence to ATPIII cholesterol guidelines. This paper describes the overall study design including the multi-faceted intervention and outcome measures. Sixty-one primary care practices in NC were recruited and randomized to either a personal digital assistant-based cholesterol management intervention or an intervention similar in intensity and frequency of contact but focused on a hypertension clinical practice guideline. Installation and implementation of the technology intervention was challenging. Over the course of the study, there were 74 technical issues requiring assistance for the palm pilot from 23 participating practices. The GLAD Heart project was completed successfully with some impact on cholesterol management. Technology has the potential to improve the quality of care provided in the healthcare setting. However, potentially expensive interventions such as that conducted in GLAD Heart should undergo rigorous testing to assure their efficacy before widespread adoption.