Consumer oriented interactive osteoarthritis fact sheet

骨关节炎是影响老年人的最常见的慢性疾病，其患病率在老年人口中占50%-80%。虽然这种情况没有治愈的方法，但确实存在有效降低发病率的治疗方法。因此，护理质量可能会影响患者的预后。护理质量可以根据结构、过程和结果来定义。护理过程描述了卫生保健提供者为患者所做的工作，包括记录健康史、进行体检、安排诊断测试、开药和执行程序。这个项目提出了一种干预措施，以改善骨性关节炎护理的过程和质量。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所起的作用，并改善护理过程。这份情况说明书将描述办公自动化的重要性，以及可以改善其结果的护理过程。它还将促使患者评估他们的护理和医生的质量。该情况说明书将旨在提高患者对骨关节炎护理过程对实现最佳健康的重要性的认识，增加患者在实施护理过程中的作用，并增加接受特定护理在患者对提供者的整体评价中的重要性。情况介绍将使用结构化的焦点小组编写。将通过从一个学术医学中心的两个诊所招募受试者的随机对照试验来评估情况说明书对医疗质量的影响。一半的受试者将通过邮寄收到情况说明书；另一半的受试者将不会得到任何干预。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绩效。将比较试验组和控制组在显式工艺措施上的表现。

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.