Improving the quality of preventive cardiovascular care provided by primary care physicians: insights from a US Quality Improvement Organization

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
Thomas P MeehanEric S Holmboe

Abstract

During 2000-03, Qualidigm, a US Quality Improvement Organization, conducted a project to improve the care received by elderly Medicare patients with coronary artery disease or cardiovascular risk factors. We recruited primary care physicians in private practice in the state of Connecticut. Then, we identified approximately 30-50 patients per physician from the periods 1 January 2000 to 31 December 2000 and 1 November 2001 to 31 October 2002. We abstracted medical records to assess processes and outcomes of care, and we provided the physicians with performance data and a variety of practice-enhancing materials. The physicians utilized those materials that they perceived to be most helpful. We identified and recruited 974 primary care physicians to participate. Of these, 103 (10.6%) committed to participate, and 85 of the 103 completed the project. Among the intervention tools, physicians and their office personnel utilized personal digital assistants (PDAs) (36.5%) and patient education materials (34.1%) most commonly. Overall, quality of care improved for most physicians (mean quality score 62.0 to 67.8%, P < 0.001). However, not all improved, and most improvements were modest [mean absolute improvement in quality score 5.8%, s...Continue Reading

References

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Citations

Nov 14, 2015·European Journal of Clinical Pharmacology·Manuela CasulaAlessandro Filippi
Apr 9, 2008·Patient Education and Counseling·Ben van SteenkisteRichard P T M GROL
Aug 22, 2009·Journal of the American Geriatrics Society·Param DedhiaEric Howell
Feb 7, 2012·Gaceta sanitaria·Carlos Eirea Eiras, Vicente Ortún Rubio
Jul 20, 2005·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Cynthia M RandMichael Weitzman
Aug 28, 2012·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Jason F WoodwardMary R Ciccarelli
Oct 9, 2013·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Gordon H SunWilliam H Shrank
Sep 6, 2013·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Thomas P MeehanMarcia K Petrillo
Aug 13, 2011·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Thomas P MeehanThomas P Meehan
Jan 12, 2008·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Andrea M WessellSteven Ornstein
Jun 4, 2019·Human Vaccines & Immunotherapeutics·Heather M BrandtMaria Zubizarreta

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