Đang chuẩn bị liên kết để tải về tài liệu:
Báo cáo y học: "Part II, Provider perspectives: should patients be activated to request evidence-based medicine? a qualitative study of the VA project to implement diuretics (VAPID)"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Part II, Provider perspectives: should patients be activated to request evidence-based medicine? a qualitative study of the VA project to implement diuretics (VAPID) | Buzza et al. Implementation Science 2010 5 24 http www.implementationscience.eom content 5 1 24 Implementation Science IMPLEMENTATION SCIENCE RESEARCH ARTICLE Open Access Part II Provider perspectives should patients be activated to request evidence-based medicine a qualitative study of the VA project to implement diuretics VAPID c mlin n R Ĩ Ĩ7X1 2 K ImnR A illÍ2mc1 K larlv AZ 2nrlcir A on1 2 Allan I rid tan Gian1 2 3 p tai tar I kfakamli1 2 Colin D Duzza Monica D Williams Mark w Vander weg Alan J dnistensen Peter J l aboli Heather Schacht Reisinger1 2 Abstract Background Hypertension guidelines recommend the use of thiazide diuretics as first-line therapy for uncomplicated hypertension yet diuretics are under-prescribed and hypertension is frequently inadequately treated. This qualitative evaluation of provider attitudes follows a randomized controlled trial of a patient activation strategy in which hypertensive patients received letters and incentives to discuss thiazides with their provider. The strategy prompted high discussion rates and enhanced thiazide-prescribing rates. Our objective was to interview providers to understand the effectiveness and acceptability of the intervention from their perspective as well as the suitability of patient activation for more widespread guideline implementation. Methods Semi-structured phone interviews were conducted with 21 primary care providers. Interviews were transcribed verbatim and reviewed by the interviewer before being analyzed for content. Interviews were coded and relevant themes and specific responses were identified grouped and compared. Results Of the 21 providers interviewed 20 95 had a positive opinion of the intervention and 18 of 20 90 thought the strategy was suitable for wider use. In explaining their opinions of the intervention many providers discussed a positive effect on treatment but they more often focused on the process of patient activation itself describing how the intervention facilitated .