Provider adherence to clinical guidelines related to lipid-lowering medications.

The objective of this study was to determine whether health care providers at the Department of Veterans Affairs Medical Center (VAMC) in Salem, Virginia were adherent to lipid-lowering medication guidelines over a 5-year period. Five hundred randomly chosen electronic medical records of veterans wi...

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Publicado en:Military Medicine Vol. 175; no. 2; pp. 122 - 127
Autores principales: Cohen SM, Kataoka-Yahiro M, Cohen, Shannon Munro, Kataoka-Yahiro, Merle
Formato: research Journal Article
Publicado: Oxford University Press / USA Feb2010
Acceso en línea:Ver este registro en EBSCOhost
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          Cohen SM
          Kataoka-Yahiro M
          Cohen, Shannon Munro
          Kataoka-Yahiro, Merle
        affil: University of Hawaii at Manoa School of Nursing, 2528 McCarthy Mall, Webster Hall, Honolulu, HI 96822, USA
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        subj:
          Guideline Adherence Statistics and Numerical Data
          Antilipemic Agents Therapeutic Use
          Hypercholesterolemia Drug Therapy
          Medication Compliance
          Practice Patterns Statistics and Numerical Data
          Practice Guidelines
          Adult
          Aged
          Aged, 80 and Over
          Clinical Competence
          Coronary Arteriosclerosis
          Diabetes Mellitus
          Medical Practice, Evidence-Based
          Female
          Heart Failure
          Human
          Male
          Middle Age
          Retrospective Design
          United States
          Veterans
          Young Adult
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
          Male
      ab: The objective of this study was to determine whether health care providers at the Department of Veterans Affairs Medical Center (VAMC) in Salem, Virginia were adherent to lipid-lowering medication guidelines over a 5-year period. Five hundred randomly chosen electronic medical records of veterans with diabetes, congestive heart failure, and/or coronary artery disease were examined for the use of HMG-CoA reductase inhibitors as part of a larger study on patient-provider adherence to cardiovascular risk-reduction guidelines. Study findings indicated that health care providers prescribed HMG-CoA reductase inhibitors to patients at high risk per evidence-based guidelines. Provider adherence to guidelines rose each year of the study, which coincided with the Department of Veterans Affairs Medical Center efforts to educate health care providers about the evidence-based guidelines, utilization of computer-generated reminders, open access appointment scheduling, and increased collaboration with patients.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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