Changing provider behavior: an overview of systematic reviews of interventions.

Abstract:

BACKGROUND:Increasing recognition of the failure to translate research findings into practice has led to greater awareness of the importance of using active dissemination and implementation strategies. Although there is a growing body of research evidence about the effectiveness of different strategies, this is not easily accessible to policy makers and professionals. OBJECTIVES:To identify, appraise, and synthesize systematic reviews of professional educational or quality assurance interventions to improve quality of care. RESEARCH DESIGN:An overview was made of systematic reviews of professional behavior change interventions published between 1966 and 1998. RESULTS:Forty-one reviews were identified covering a wide range of interventions and behaviors. In general, passive approaches are generally ineffective and unlikely to result in behavior change. Most other interventions are effective under some circumstances; none are effective under all circumstances. Promising approaches include educational outreach (for prescribing) and reminders. Multifaceted interventions targeting different barriers to change are more likely to be effective than single interventions. CONCLUSIONS:Although the current evidence base is incomplete, it provides valuable insights into the likely effectiveness of different interventions. Future quality improvement or educational activities should be informed by the findings of systematic reviews of professional behavior change interventions.

journal_name

Med Care

journal_title

Medical care

authors

Grimshaw JM,Shirran L,Thomas R,Mowatt G,Fraser C,Bero L,Grilli R,Harvey E,Oxman A,O'Brien MA

keywords:

subject

Has Abstract

pub_date

2001-08-01 00:00:00

pages

II2-45

issue

8 Suppl 2

eissn

0025-7079

issn

1537-1948

journal_volume

39

pub_type

杂志文章
  • Comparability of patient-reported health status: multicountry analysis of EQ-5D responses in patients with type 2 diabetes.

    abstract:BACKGROUND:Valid and comparable measures of health outcomes are needed for clinical trials, studies on quality of healthcare, and population health monitoring. OBJECTIVE:To examine comparability of patient-reported health status across populations. RESEARCH DESIGN:Logistic regression analysis of health status across ...

    journal_title:Medical care

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/MLR.0b013e3182239489

    authors: Salomon JA,Patel A,Neal B,Glasziou P,Grobbee DE,Chalmers J,Clarke PM

    更新日期:2011-10-01 00:00:00

  • Physician's extenders' performance in Air Force clinics.

    abstract::We evaluated the quality of care of physician's extenders (PEs: 23 physician's assistants, 7 primary care nurse practitioners) in Air Force primary medicine clinics, as part of an evaluation of PEs' assuming a considerable portion of the care, formerly provided by physicians in the military medical system. Physician's...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198109000-00007

    authors: Goldberg GA,Jolly DM,Hosek S,Chu DS

    更新日期:1981-09-01 00:00:00

  • Placebo adherence, clinical outcomes, and mortality in the women's health initiative randomized hormone therapy trials.

    abstract:BACKGROUND:Medication adherence may be a proxy for healthy behaviors and other factors that affect outcomes. Prior studies of the association between placebo adherence and health outcomes have been limited primarily to men enrolled in clinical trials and cardiovascular disease outcomes. We examined associations between...

    journal_title:Medical care

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MLR.0b013e318207ed9e

    authors: Curtis JR,Larson JC,Delzell E,Brookhart MA,Cadarette SM,Chlebowski R,Judd S,Safford M,Solomon DH,Lacroix AZ

    更新日期:2011-05-01 00:00:00

  • A measurement model of the Medical Outcomes Study 36-Item Short-Form Health Survey in a clinical sample of disadvantaged, older, black, and white men and women.

    abstract::The authors assess the factorial validity of the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) for use in a clinical sample of disadvantaged, older adults with significant comorbidities. Confirmatory factor analysis was performed using LISREL VIII on data obtained from baseline face-to-face interview...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199606000-00004

    authors: Wolinsky FD,Stump TE

    更新日期:1996-06-01 00:00:00

  • The relationship of attitude changes to compliance with influenza immunization. A prospective study.

    abstract::In a longitudinal, prospective study of patient's decisions about influenza vaccination, the stability of attitudes about the flu and flu shots, the stability of flu shot decisions, and the relationship of attitude shifts to compliance were studied. In both 1981 and 1982 for 216 patients at high risk for complications...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198506000-00002

    authors: Buchner DM,Carter WB,Inui TS

    更新日期:1985-06-01 00:00:00

  • Pain and the use of outpatient services among persons with HIV: results from a nationally representative survey.

    abstract:BACKGROUND:The negative impact of pain on health-related quality of life has been documented for persons with human immunodeficiency virus (HIV). Furthermore, pain could be an important factor in seeking medical care. However, the relationship between pain and health service utilization is poorly understood. OBJECTIVE...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000108744.45327.d4

    authors: Dobalian A,Tsao JC,Duncan RP

    更新日期:2004-02-01 00:00:00

  • Implications of the Adult Day Health Care Evaluation Study for program revision and research.

    abstract::With no additional effort to revise adult day health care (ADHC) services or the types of patients who receive them, it would appear that adding an ADHC program to a VA Medical Center would not achieve the desired objectives. The authors discuss here the advantages, disadvantages, and feasibility of 2 options for prog...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:

    authors: Hedrick SC,Chapko M,Ehreth J,Rothman ML,Kelly JR,Inui TS

    更新日期:1993-09-01 00:00:00

  • Predisposing characteristics, enabling resources and need as predictors of utilization and clinical outcomes for veterans receiving mental health services.

    abstract:BACKGROUND:Though demand for mental health services (MHS) among US veterans is increasing, MHS utilization per veteran is decreasing. With health and social service needs competing for limited resources, it is important to understand the association between patient factors, MHS utilization, and clinical outcomes. OBJE...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/mlr.0b013e3181cafbe3

    authors: Fasoli DR,Glickman ME,Eisen SV

    更新日期:2010-04-01 00:00:00

  • Using cognitive interviews to develop surveys in diverse populations.

    abstract:BACKGROUND:Conceptual equivalence of measures is essential in research that compares health across diverse racial/ethnic groups. Cognitive interviews are pretest methods to explore the conceptual equivalence of survey items. Systematic approaches for using these methods are emerging. OBJECTIVE:We describe an interacti...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000245425.65905.1d

    authors: Nápoles-Springer AM,Santoyo-Olsson J,O'Brien H,Stewart AL

    更新日期:2006-11-01 00:00:00

  • Association of physician and hospital volume with use of aspirin and reperfusion therapy in acute myocardial infarction.

    abstract:BACKGROUND:The association between volume of patients treated and quality of care has important implications for patient referral policies and approaches to quality improvement. Most studies have focused on hospital volume alone and health outcomes. OBJECTIVES:The objective of this work was to examine the association ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-200011000-00004

    authors: Willison DJ,Soumerai SB,Palmer RH

    更新日期:2000-11-01 00:00:00

  • Administrative hospitalization database validation of cardiac procedure codes.

    abstract:BACKGROUND:Although cardiac procedures are commonly used to treat cardiovascular disease, they are costly. Administrative data sources could be used to track cardiac procedures, but sources of such data have not been validated against clinical registries. OBJECTIVES:To examine accuracy of cardiac procedure coding in a...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e3182329778

    authors: Lee DS,Stitt A,Wang X,Yu JS,Gurevich Y,Kingsbury KJ,Austin PC,Tu JV

    更新日期:2013-04-01 00:00:00

  • Satisfaction, gender, and communication in medical visits.

    abstract::The authors conducted two studies of routine medical visits, investigating the relation of physician gender, patient gender, and physician age to patient satisfaction, and the correlations between communication behaviors and satisfaction separately for different combinations of patient and physician gender. Study 1 wa...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199412000-00005

    authors: Hall JA,Irish JT,Roter DL,Ehrlich CM,Miller LH

    更新日期:1994-12-01 00:00:00

  • The effects of patient volume on the quality of diabetic care for Medicare beneficiaries.

    abstract:BACKGROUND:The quality of care for Medicare beneficiaries with diabetes remains suboptimal. The contributing factors at the physician level are not well characterized, especially the relationship of patient volume and physician performance. OBJECTIVE:We sought to determine associations between the number of Medicare d...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000233685.22497.cf

    authors: Holmboe ES,Wang Y,Tate JP,Meehan TP

    更新日期:2006-12-01 00:00:00

  • Health care coverage and access to care: the status of Minnesota's veterans.

    abstract:OBJECTIVES:The primary objective of this study was to examine veterans' reliance on health care services provided by the Veterans Health Administration (VHA) within Minnesota and estimate the potential effect on uninsurance rates if all eligible veterans relied on VHA coverage. Secondary objectives were to compare vete...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000170403.97264.39

    authors: Jonk YC,Call KT,Cutting AH,O'Connor H,Bansiya V,Harrison K

    更新日期:2005-08-01 00:00:00

  • Attitudes About Consumer Strategies Among Americans in High-deductible Health Plans.

    abstract:BACKGROUND:More than 70 million Americans are enrolled in a high-deductible health plan (HDHP), with high upfront cost-sharing to encourage strategies such as price shopping to mitigate out-of-pocket spending. Recent research suggests HDHP enrollees are reluctant to engage in these consumer strategies, but there is lit...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000001056

    authors: Cliff BQ,Krenz C,West BT,Levy H,Fendrick AM,Winkelman TNA,So J,Fagerlin A,Kullgren JT

    更新日期:2019-03-01 00:00:00

  • Impact of an Advanced Imaging Utilization Review Program on Downstream Health Care Utilization and Costs for Low Back Pain.

    abstract:BACKGROUND:Early magnetic resonance imaging (MRI) for acute low back pain (LBP) has been associated with increased costs, greater health care utilization, and longer disability duration in workers' compensation claimants. OBJECTIVES:To assess the impact of a state policy implemented in June 2010 that required prospect...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000917

    authors: Graves JM,Fulton-Kehoe D,Jarvik JG,Franklin GM

    更新日期:2018-06-01 00:00:00

  • A longitudinal analysis of patient satisfaction and subsequent quality of life in Hong Kong Chinese breast and nasopharyngeal cancer patients.

    abstract:BACKGROUND:We evaluated the longitudinal course of the relationship between patient satisfaction and quality of life (QoL) in Chinese breast and nasopharyngeal cancer patients. METHODS:A sample of Chinese breast (n = 250) and nasopharyngeal (n = 242) cancer patients were assessed during their first outpatient visit (b...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e3181a393cf

    authors: Wong WS,Fielding R

    更新日期:2009-08-01 00:00:00

  • Assessing the Effectiveness of Complex Interventions to Meet the Needs of VA Stakeholders: Experience of the Department of Veterans Affairs Evidence Synthesis Program.

    abstract:BACKGROUND:Complex health care interventions involve multiple distinct elements that contribute to their functioning. Conducting systematic reviews of complex interventions has substantial challenges. Although methodological guidance exists, less is known about the practical strategies and approaches undertaken by syst...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000001158

    authors: Wilt TJ,Greer N,Duan-Porter W

    更新日期:2019-10-01 00:00:00

  • Comparative costs of a cooperative care program versus inpatient hospital care for obstetric patients.

    abstract::The cost of obstetric care delivered in a cooperative care unit was compared with the cost for similar patients treated in a traditional inpatient maternity unit. The study sample contained 1,683 consecutive patients representing 23 diagnosis categories. The analysis indicates that cooperative care patients had signif...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198806000-00008

    authors: Woods JR,Saywell RM Jr,Benson JT

    更新日期:1988-06-01 00:00:00

  • Carepartner experiences with hospital care.

    abstract:OBJECTIVES:Family members and other "carepartners" often play an important role in the care and support of patients during and after hospitalization, yet little is known about how they assess their hospital experience or the factors that may influence their perceptions. METHODS:A nationwide telephone survey of 1,800 r...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199901000-00006

    authors: vom Eigen KA,Walker JD,Edgman-Levitan S,Cleary PD,Delbanco TL

    更新日期:1999-01-01 00:00:00

  • Regional variation in angiography, coronary artery bypass surgery, and percutaneous transluminal coronary angioplasty in Manitoba, 1987 to 1992: the funnel effect.

    abstract:OBJECTIVES:Administrative data from Manitoba, Canada document variation in procedure utilization rates over a period of 15 years. With coronary angiography and cardiovascular surgery centralized in the capital, Winnipeg, previous analyses from 1977 to 1983 found angiography and coronary artery bypass surgery (CABS) rat...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199807000-00009

    authors: Hartford K,Ross LL,Walld R

    更新日期:1998-07-01 00:00:00

  • Lifetime patterns of payment for nursing home care.

    abstract::Although much is known about who pays the annual aggregate nursing home bill, relatively little is known about payment-source patterns of individuals during their lifetimes. In this article, lifetime payment-source patterns are analyzed for elderly nursing home users, particularly the extent to which they spend down a...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199503000-00007

    authors: Spillman BC,Kemper P

    更新日期:1995-03-01 00:00:00

  • Quality of acute episodic care in investor-owned ambulatory health centers.

    abstract::This article examines the quality of acute episodic care for five diagnostic categories amenable to one-visit diagnosis and treatment at the nation's largest chain of investor-owned ambulatory care centers. A total of 803 medical records were audited for five common conditions and measured against specific protocols. ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199101000-00007

    authors: Parks CL,Cashman S,Winickoff RN,Bicknell WJ

    更新日期:1991-01-01 00:00:00

  • How does geographic access affect in-hospital mortality for veterans with acute ischemic stroke?

    abstract:OBJECTIVE:To examine the relationship between estimated travel time to admitting hospital and mortality for veterans with acute ischemic stroke, controlling for patient demographic, clinical, facility-level variables, as well as select in-hospital treatments and procedures. METHODS:A longitudinal observational populat...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000366

    authors: Ripley DC,Kwong PL,Vogel WB,Kurichi JE,Bates BE,Davenport C

    更新日期:2015-06-01 00:00:00

  • Disparities in Potentially Preventable Hospitalizations Between American Indian and Alaska Native and Non-Hispanic White Medicare Enrollees.

    abstract:OBJECTIVE:A number of health care initiatives seek to improve health outcomes by increasing access to outpatient services while reducing preventable acute events. We evaluated disparities between American Indian and Alaska Native (AI/AN) and non-Hispanic white (white) Medicare enrollees in access to outpatient preventi...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000698

    authors: O'Connell J,Rockell J,Ouellet JC,LeBeau M

    更新日期:2017-06-01 00:00:00

  • Economic evaluation of aquatic exercise for persons with osteoarthritis.

    abstract:OBJECTIVES:To estimate cost and outcomes of the Arthritis Foundation aquatic exercise classes from the societal perspective. DESIGN:Randomized trial of 20-week aquatic classes. Cost per quality-adjusted life year (QALY) gained was estimated using trial data. Sample size was based on 80% power to reject the null hypoth...

    journal_title:Medical care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00005650-200105000-00002

    authors: Patrick DL,Ramsey SD,Spencer AC,Kinne S,Belza B,Topolski TD

    更新日期:2001-05-01 00:00:00

  • An Economic Analysis of the Implementation of Team-based Collaborative Care in Outpatient General Mental Health Clinics.

    abstract:BACKGROUND:Collaborative Chronic Care Models represent an evidence-based way to structure care for chronic conditions, including mental health conditions. Few studies, however, have examined the cost implications of collaborative care for mental health. OBJECTIVE:We aimed to conduct an economic analysis of implementin...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000001372

    authors: Miller CJ,Griffith KN,Stolzmann K,Kim B,Connolly SL,Bauer MS

    更新日期:2020-10-01 00:00:00

  • Impact of predialysis therapeutic practices on patient outcomes during the first year of dialysis: the Pharmacoepidemiologic AVENIR study.

    abstract:BACKGROUND:Studies evaluating patient outcomes in dialysis as a function of quality of predialysis therapeutic care are lacking. OBJECTIVE:To evaluate the association of quality of predialysis therapeutic practices with survival and hospitalization during the first year of dialysis. RESEARCH DESIGN:The AVantagE de la...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e3181d56926

    authors: Thilly N,Boini S,Loos-Ayav C,Kessler M,Briançon S,Frimat L

    更新日期:2012-01-01 00:00:00

  • Physical and role functioning among persons with HIV: results from a nationally representative survey.

    abstract:BACKGROUND:Functional limitations of persons living with HIV affect their care needs and ability to perform social roles such as employment. Earlier estimates are outdated, and nationally representative estimates of prevalence and distribution of these limitations have not previously been available. OBJECTIVES:The obj...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-200012000-00008

    authors: Crystal S,Fleishman JA,Hays RD,Shapiro MF,Bozzette SA

    更新日期:2000-12-01 00:00:00

  • Impact of a high-deductible health plan on outpatient visits and associated diagnostic tests.

    abstract:BACKGROUND:By shifting a greater share of out-of-pocket medical costs to consumers, high-deductible health plans (HDHP) might discourage use of essential outpatient services. OBJECTIVE:The objective of the study was to examine the impact of an HDHP on outpatient visits and associated laboratory and radiology tests. R...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000008

    authors: Reddy SR,Ross-Degnan D,Zaslavsky AM,Soumerai SB,Wharam JF

    更新日期:2014-01-01 00:00:00