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báo cáo khoa học: "Improved delivery of cardiovascular care (IDOCC) through outreach facilitation: study protocol and implementation details of a cluster randomized controlled trial 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: Improved delivery of cardiovascular care (IDOCC) through outreach facilitation: study protocol and implementation details of a cluster randomized controlled trial in primary care | Liddy et al. Implementation Science 2011 6 110 http www.implementationscience.eom content 6 1 110 Implementation Science IMPLEMENTATION SCIENCE STUDY PROTOCOL Open Access Improved delivery of cardiovascular care IDOCC through outreach facilitation study protocol and implementation details of a cluster randomized controlled trial in primary care I X Vf i I I z l zdx z 1 2 A ìllỉ r x I_I c Z i Z i 1 2 3 f _ m Di I r- r- Z-J I4 5 AT r rs i Z A z llr 6 10 p. r I rx l A r I Ar m rf rzx rx Z t 7 A t I I h A lzL xri8 Clare Liddy William Hogg crant Russell George wells Catherine Deri Armstrong Ayub AKoari Simone Dahrouge1 Monica Taljaard9 10 Liesha Mayo-Bruinsma1 10 Jatinderpreet Singh1 and Alex Cornett1 11 Abstract Background There is a need to find innovative approaches for translating best practices for chronic disease care into daily primary care practice routines. Primary care plays a crucial role in the prevention and management of cardiovascular disease. There is however a substantive care gap and many challenges exist in implementing evidence-based care. The Improved Delivery of Cardiovascular Care IDOCC project is a pragmatic trial designed to improve the delivery of evidence-based care for the prevention and management of cardiovascular disease in primary care practices using practice outreach facilitation. Methods The IDOCC project is a stepped-wedge cluster randomized control trial in which Practice Outreach Facilitators work with primary care practices to improve cardiovascular disease prevention and management for patients at highest risk. Primary care practices in a large health region in Eastern Ontario Canada were eligible to participate. The intervention consists of regular monthly meetings with the Practice Outreach Facilitator over a one- to two-year period. Starting with audit and feedback consensus building and goal setting the practices are supported in changing practice behavior by incorporating chronic care model elements. These elements include a