Organizational Factors Associated with Guideline Concordance of Chronic Disease Care and Management Practices.

ABSTRACT:

Background

Guidelines for managing and preventing chronic disease tend to be well-known. Yet, translation of this evidence into practice is inconsistent. We identify a combination of factors that are connected to guideline concordant delivery of evidence-informed chronic disease care in primary care.

Methods

Cross-sectional observational study; purposively selected 22 practices to vary on size, ownership and geographic location, using National Quality Forum metrics to ensure practices had a ≥ 70% quality level for at least 2 of the following: aspirin use in high-risk individuals, blood pressure control, cholesterol and diabetes management. Interviewed 2 professionals (eg, medical director, practice manager) per practice (n = 44) to understand staffing and clinical operations

SUBMITTER: Cohen DJ 

PROVIDER: S-EPMC10515112 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature