Journal article
Organizational Interventions To Encourage Guideline Implementation
Chest, Vol.118(2), pp.40S-46S
08/2000
DOI: 10.1378/chest.118.2_suppl.40S
PMID: 10939998
Abstract
Evidence-based guidelines hold considerable promise for continued improvement of health-care delivery. However, the availability of clinical practice guidelines does not automatically lead to changes in practice patterns. Using a “push-pull-capacity” model, this article describes strategies to improve guideline implementation for three types of organizations: national organizations, insurer and health-care organizations, and health-care purchasers. Push strategies focus on the guideline development process and include rigorous review and meta-analysis of peer-reviewed research, and use of multidisciplinary expert teams, subjecting guidelines to peer review and comment and using measurable clinical outcomes to define guidelines. Pull strategies focus on creating a demand for guideline implementation and include professional organization endorsement, quality measures based on guideline-related outcomes, and guideline-based performance objectives in purchaser contracts and physician compensation agreements. Capacity strategies focus on systems that facilitate guideline implementation. Example strategies are providing benefit coverage and reimbursement for guideline-based treatment protocols, and implementing clinical information systems for population-based tracking, outcomes monitoring, and benchmarking feedback.
Details
- Title: Subtitle
- Organizational Interventions To Encourage Guideline Implementation
- Creators
- Susan J. Curry - Group Health Cooperative
- Resource Type
- Journal article
- Publication Details
- Chest, Vol.118(2), pp.40S-46S
- Publisher
- Elsevier Inc
- DOI
- 10.1378/chest.118.2_suppl.40S
- PMID
- 10939998
- ISSN
- 0012-3692
- eISSN
- 1931-3543
- Language
- English
- Date published
- 08/2000
- Academic Unit
- Health Management and Policy; Community and Behavioral Health
- Record Identifier
- 9984366298302771
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