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báo cáo khoa học: " An observational study of the effectiveness of practice guideline implementation strategies examined according to physicians' cognitive styles"

Tham khảo luận văn - đề án 'báo cáo khoa học: " an observational study of the effectiveness of practice guideline implementation strategies examined according to physicians' cognitive styles"', luận văn - báo cáo phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | Implementation Science BioMed Central Research article An observational study of the effectiveness of practice guideline implementation strategies examined according to physicians cognitive styles Lee A Green 1 Leon Wyszewianski2 Julie C Lowery3 Christine P Kowalski3 and Sarah L Krein3 4 Open Access Address Department of Family Medicine Medical School University of Michigan Ann Arbor Michigan USA 2Department of Health Management Policy School of Public Health University of Michigan Ann Arbor Michigan USA 3Health Services Research Development Ann Arbor Veterans Administration Hospital and Health Center Ann Arbor Michigan USA and 4Department of Internal Medicine University of Michigan Medical School Ann Arbor Michigan USA Email Lee A Green - greenla@umich.edu Leon Wyszewianski - leonw@umich.edu Julie C Lowery - julie.lowery@med.va.gov Christine P Kowalski - christine.kowalski@med.va.gov Sarah L Krein - sarah.krein@med.va.gov Corresponding author Published I December 2007 Received 3 October 2006 . . . J . AI Accepted 1 December 2007 Implementation Science 2007 2 41 doi 10.1186 1748-5908-2-41 This article is available from http www.implementationscience.cOm content 2 1 41 2007 Green et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Reviews of guideline implementation recommend matching strategies to the specific setting but provide little specific guidance about how to do so. We hypothesized that the highest level of guidelineconcordant care would be achieved where implementation strategies fit well with physicians cognitive styles. Methods We conducted an observational study of the implementation of guidelines for hypertension management among patients with diabetes at 43 Veterans Health Administration