Clinical practice guideline implementation strategy patterns in Veterans Affairs primary care clinics.

ABSTRACT:

Background

The Department of Veterans Affairs (VA) mandated the system-wide implementation of clinical practice guidelines (CPGs) in the mid-1990s, arming all facilities with basic resources to facilitate implementation; despite this resource allocation, significant variability still exists across VA facilities in implementation success.

Objective

This study compares CPG implementation strategy patterns used by high and low performing primary care clinics in the VA.

Research design

Descriptive, cross-sectional study of a purposeful sample of six Veterans Affairs Medical Centers (VAMCs) with high and low performance on six CPGs.

Subjects

One hundred and two employees (management, quality improvement, clinic personnel) involved with guideline implementation at ea

SUBMITTER: Hysong SJ 

PROVIDER: S-EPMC1955743 | biostudies-literature | 2007 Feb

REPOSITORIES: biostudies-literature