Steven Ornstein, MD; Ruth G. Jenkins, MS; Paul J. Nietert, PhD; Chris Feifer, DrPH; Loraine F. Roylance, BS; Lynne Nemeth, RN, MS; Sarah Corley, MD; Lori Dickerson, PharmD; W. David Bradford, PhD; Cara Litvin, MD
Grant Support: By the Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, Public Health Service (grant no. 1 U18 HS11132-01).
Potential Financial Conflicts of Interest:Consultancies: S. Ornstein, C. Feifer, L. Dickerson, C. Litvin (Physician MicroSystems, Inc.); Grants received: S. Ornstein (Physician MicroSystems, Inc.); Royalties: S. Ornstein (Physician MicroSystems, Inc.).
Requests for Single Reprints: Steven Ornstein, MD, Department of Family Medicine, Medical University of South Carolina, 295 Calhoun Street, Charleston, SC 29425; e-mail, email@example.com.
Current Author Addresses: Drs. Ornstein and Litvin, Ms. Jenkins, and Ms. Roylance: Department of Family Medicine, Medical University of South Carolina, 295 Calhoun Street, Charleston, SC 29425.
Dr. Nietert: Department of Biostatistics, Bioinformatics, and Epidemiology, Medical University of South Carolina, 135 Cannon Street, Charleston, SC 29425.
Dr. Feifer: Department of Family Medicine, University of Southern California, 1000 South Fremont Avenue, Building A7, Room 7419, Alhambra, CA 91803.
Ms. Nemeth: Care Management, Research/Evaluation, Medical University of South Carolina, 171 Ashley Avenue, Charleston, SC 29425.
Dr. Corley: Internal Medicine Associates, 3715 Moss Drive, Annandale, VA 22003.
Dr. Dickerson: University Family Medicine, Medical University of South Carolina, 9298 Medical Plaza Drive North, Charleston, SC 29408.
Dr. Bradford: Health Administration and Policy, Medical University of South Carolina, 19 Hagood Avenue, Room 401, Charleston, SC 29425.
Ornstein S, Jenkins RG, Nietert PJ, Feifer C, Roylance LF, Nemeth L, et al. A Multimethod Quality Improvement Intervention To Improve Preventive Cardiovascular Care: A Cluster Randomized Trial. Ann Intern Med. 2004;141:523-532. doi: 10.7326/0003-4819-141-7-200410050-00008
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Published: Ann Intern Med. 2004;141(7):523-532.
Interventions to promote guideline-recommended care have met with limited success. Quality improvement experts believe that multicomponent interventions are more effective than simpler strategies, but this belief rests on limited evidence.
In this randomized trial of 20 primary care practices, intervention practices received quarterly site visits and 2 network meetings about quality improvement in addition to copies of practice guidelines and quarterly performance reports. Intervention practices had greater improvement in providing guideline-recommended care for cardiovascular disease prevention and treatment than practices that received only the guidelines and performance reports.
The study involved a small number of practices.
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Cardiology, Nephrology, Hypertension, Healthcare Delivery and Policy, Coronary Risk Factors.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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