An evaluation of collaborative interventions to improve chronic illness care - Framework and study design

被引:120
作者
Cretin, S
Shortell, SM
Keeler, EB
机构
[1] Univ Calif Berkeley, Sch Publ Hlth, Berkeley, CA 94720 USA
[2] RAND Corp, Santa Monica, CA 90406 USA
关键词
chronic disease; methodology; quality improvement; outcome assessment; evaluation design;
D O I
10.1177/0193841X03256298
中图分类号
C [社会科学总论];
学科分类号
03 ; 0303 ;
摘要
The authors' dual-purpose evaluation assesses the effectiveness of formal collaboratives in stimulating organizational changes to improve chronic illness care (the chronic care model or CCM). Intervention and comparison sites are compared before and after introduction of the CCM. Multiple data sources are used to measure the degree of implementation, patient-level processes and outcomes, and organizational and team factors associated with success. Despite challenges in timely recruitment of sites and patients, data collection on 37 participating organizations, 22 control sites, and more than 4, 000 patients with diabetes, congestive heart failure, asthma, or depression is nearing completion. When analyzed, these data will shed new light on the effectiveness of collaborative improvement methods and the CCM.
引用
收藏
页码:28 / 51
页数:24
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