Consumer oriented interactive osteoarthritis fact sheet

骨关节炎（OA）是影响老年人的最常见的慢性疾病，患病率为50-80%。虽然没有治愈这种情况，但确实存在有效降低发病率的疗法。因此，护理质量可能会影响患者的结局。护理质量可以从结构、过程和结果方面来定义。护理过程描述了卫生保健提供者为患者做了什么，包括记录健康史，进行体检，安排诊断测试，开药和执行程序。该项目提出了一种干预措施，以改善过程，从而提高骨关节炎护理的质量。我们计划为患者开发书面的、互动的教育材料，以促进患者在优化自己的医疗保健方面的作用，并改善护理过程。这份情况说明书将描述OA的重要性以及可以改善其结果的护理过程。它还将促使病人评估他们的护理和他们的医生的质量。事实说明书的设计将增加患者对OA护理过程重要性的认识，以实现最佳健康，增加患者在执行护理过程中的作用，并增加患者对提供者的总体评价中接受指定护理的重要性。概况介绍将采用结构化的重点小组编制。将通过从一个学术医疗中心的两个诊所招募的受试者进行随机对照试验，评估情况说明书对医疗保健质量的影响。一半的受试者将通过邮件收到情况说明书;另一半将不接受干预。将在基线和6个月时进行结构化图表审查和访谈，以评估11个明确的骨关节炎护理过程的性能。将在实验组和对照组之间比较外显过程测量的性能。

Osteoarthritis (OA) is the most common chronic disease affecting older adults with the prevalence ranging from 50-80% of the elderly population. Although no cure exists for this condition, therapies that effectively reduce the morbidity do exist. Therefore, the quality of care may impact the patient's outcome. Quality of care can be defined in terms of structures, processes and outcomes. Process of care describes what health care providers do for patients and includes taking a health history, performing a physical examination, ordering diagnostic tests, prescribing medications and performing procedures. This project proposes an intervention to improve the process and hence quality of osteoarthritis care. We plan to develop written, interactive educational material for patients that will promote the patient's role in optimizing his or her own health care and result in improved process of care. This fact sheet will describe the importance of OA and the processes of care that can improve its outcome. it will also prompt patients to evaluate the quality of both their care and of their physician. The fact sheet will be designed to increase the patient's perception of the importance of the care processes of OA for achieving optimal health, increase the patient's role in the getting the care processes performed, and increase the importance of receipt of specified care in the patient's overall evaluation of the provider. The fact sheet will be developed using structured focus groups. The effect of the fact sheet on health care quality will be assessed through a randomized controlled trial of subjects recruited from two clinics at one academic medical center. Half of the subjects will receive the fact sheet by mail; half will receive no intervention. Structured chart reviews and interviews will be conducted at baseline and at 6 months to assess the performance of 11 explicit processes of care for osteoarthritis. Performance on the explicit process measures will be compared across the experimental and control groups.