Overcoming obstacles to effective treatment : Use of clinical practice improvement methodology.
Annual Meeting of the American Psychiatric Association. New York, New York (USA), 1996/05/08.
Clinical practice improvement (CPI) is a method for examining the steps of a care process to determine how to achieve the best medical outcomes at the least necessary cost over the continuum of a patient's care.
This methodology includes tracking of medical care process factors (management strategies, interventions, medications), patient factors (physiologic severity of illness and psychosocial deviations at each visit), and outcomes and furnishes information that presents distinct advantages over information furnished by outcomes research or clinical trials in the designing of management protocols.
The Managed Care Outcomes Project, a large-scale CPI study, examined the effects of health maintenance organization (HMO) cost-containment strategies on patient outcome and utilization of care.
Approximately 13,000 patients with otitis media, arthritis, hypertension, asthma, or ulcer disease were analyzed ; since all patient diagnoses and medication use were captured in the CPI model, my colleagues and I were able to assess factors in psychiatric illness diagnosis, treatment, and outcome. (...)
Mots-clés Pascal : Trouble psychiatrique, Chimiothérapie, Traitement, Méthode, Evaluation, Efficacité traitement, Soin intégré, Homme, Filière soins, Health maintenance organization
Mots-clés Pascal anglais : Mental disorder, Chemotherapy, Treatment, Method, Evaluation, Treatment efficiency, Managed care, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0272813
Code Inist : 002B02B02. Création : 15/07/1997.