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báo cáo khoa học: "Feedback GAP: study protocol for a clusterrandomized trial of goal setting and action plans to increase the effectiveness of audit and feedback interventions in primary care"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Feedback GAP: study protocol for a clusterrandomized trial of goal setting and action plans to increase the effectiveness of audit and feedback interventions in primary care | Ivers et al. Implementation Science 2010 5 98 http www.implementationscience.eom content 5 1 98 IMPLEMENTATION SCIENCE Implementation Science STUDY PROTOCOL Open Access Feedback GAP study protocol for a cluster-randomized trial of goal setting and action plans to increase the effectiveness of audit and feedback interventions in primary care I h l 1 l QKC 2 3 4 I I 12 4 5 I i 11 cr i r6 I p rr I 3 p 3 11II c h -u h2 3 7 Do c c II chi I r2 4 7 8 A I OX c c2 3 Noah M Ivers Karen iu Jill Francis Jan Barnsley Baiju Shah Ross Upshur Alex Kiss Jeremy M Grimshaw9 Merrick Zwarenstein2 7 Abstract Background Audit and feedback to physicians is commonly used alone or as part of multifaceted interventions. While it can play an important role in quality improvement the optimal design of audit and feedback is unknown. This study explores how feedback can be improved to increase acceptability and usability in primary care. The trial seeks to determine whether a theory-informed worksheet appended to feedback reports can help family physicians improve quality of care for their patients with diabetes and or ischemic heart disease. Methods Two-arm cluster trial was conducted with participating primary care practices allocated using minimization to simple feedback or enhanced feedback group. The simple feedback group receives performance feedback reports every six months for two years regarding the proportion of their patients with diabetes and or ischemic heart disease who are meeting quality targets. The enhanced feedback group receives these same reports as well as a theory-informed worksheet designed to facilitate goal setting and action plan development in response to the feedback reports. Participants are family physicians from across Ontario who use electronic medical records data for rostered patients are used to produce the feedback reports and for analysis. Outcomes The primary disease outcomes are the blood pressure BP and low-density lipoprotein cholesterol LDL levels. The