Article Figures & Data
Tables
Additional Files
Supplemental Appendix
Supplemental Appendix: Pre- to Postintervention Change in Proportion of Patients where the Guidelines were Implemented by Practice
Files in this Data Supplement:
- Supplemental data: Appendix - PDF file
The Article in Brief
Implementing Asthma Guidelines Using Practice Facilitation and Local Learning Collaboratives: A Randomized Controlled Trial
James W. Mold , and colleagues
Background Implementing clinical practice guidelines for managing chronic diseases can be challenging for primary care practices. Two promising types of assistance are practice facilitation (PF) and learning collaboratives. This study compares the effectiveness of these two interventions, along with performance feedback and education (academic detailing) on practices' success in implementing the National Heart, Lung and Blood Institute's Asthma Guidelines.
What This Study Found Practice facilitation appears to be better than education, practical tools and performance feedback alone in helping primary care practices implement asthma guidelines. The intensity of the intervention appears to correlate with effectiveness.
Implications
- These findings may help efforts to improve guideline implementation in primary care practices.