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" Implementation of the asthma practice guideline in the Army Medical Department : "
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BL
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| Record Number
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949916
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b704286
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| Title & Author
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Implementation of the asthma practice guideline in the Army Medical Department : : evaluation of process and effects.
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| Publication Statement
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Santa Monica, CA :: Rand,, ©2005.
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, ©2005
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1 online resource (xxxiv, 176 pages) :: illustrations
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| ISBN
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0833037560
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: 0833040731
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: 9780833037565
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: 9780833040732
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0833037730
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9780833037732
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| Notes
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"Center for Military Health Policy Research."
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"RAND Arroyo Center."
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| Bibliographies/Indexes
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Includes bibliographical references (pages 173-176).
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| Contents
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Introduction -- Methods and data -- Asthma populations and practices at the baseline -- The guideline implementation process -- Effects of guideline implementation -- Synthesis of findings from the demonstration -- Appendix A. Hypotheses for effects of improved asthma care practices -- Appendix B. Evaluation methodology -- Appendix C. Modules of the climate survey -- Appendix D. Physician questionnaire -- Appendix E. Analyses of asthma metrics.
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| Abstract
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In partnership with the Army Medical Department (AMEDD), RAND researchers worked to implement clinical practice guidelines in treatment of three common ailments (asthma, diabetes, and low back pain). This report is an evaluation of the asthma practice guideline demonstration. It documents the extent to which intended actions were implemented, assesses short-term effects on clinical practices, and measures the quality and limitations of available data for monitoring practice improvements and clinical outcomes. The authors found that, although the implementation scored some notable successes, resource limitations and organizational barriers curbed overall progress. They conclude that allowing for flexibility, monitoring the facilities consistently, and training providers thoroughly are the keys to implementing the practice guidelines throughout AMEDD. The also concluded that patient education was an area in need of improvement.
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| Subject
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United States.
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United States.-- Medical care-- Standards.
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United States
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United States.
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United States.
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Asthma-- Treatment-- United States-- Evaluation.
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Soldiers-- Medical care-- United States.
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HEALTH FITNESS-- Diseases-- Respiratory.
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MEDICAL-- Pulmonary Thoracic Medicine.
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POLITICAL SCIENCE-- International Relations-- Diplomacy.
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Soldiers-- Medical care.
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Asthma-- therapy.
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Process Assessment, Health Care.
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Case Management-- organization administration.
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Guideline Adherence.
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Military Medicine-- organization administration.
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United States.
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| Dewey Classification
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616.2/3806
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| LC Classification
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UH523.I47 2005
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| NLM classification
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2006 C-578
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WF 553I355 2005
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| Added Entry
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Ashwood, J. Scott.
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Cretin, Shan.
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Dydek, George J.
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Farley, Donna.
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Pieklik, Suzanne.
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Quiter, Elaine S.
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Tu, Wenli.
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Vernez, Georges.
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United States., Army.
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Arroyo Center.
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Center for Military Health Policy Research.
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Rand Corporation.
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