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Implementation of the asthma practice guideline in the Army Medical Department: evaluation of process and effects

Implementation of the asthma practice guideline in the Army Medical Department: evaluation of process and effects

Quiter, Elaine S; Pieklik, Suzanne; Farley, Donna; Tu, Wenli; Vernez, Georges; Dydek, George J; Ashwood, J. Scott; Cretin, Shan

In partnership with the Army Medical Department (AMEDD), RAND researchers worked to implement clinical practice guidelines in treatment of three common ailments (asthma, diabetes, and low back pain). This report is an evaluation of the asthma practice guideline demonstration. It documents the extent to which intended actions were implemented, assesses short-term effects on clinical practices, and measures the quality and limitations of available data for monitoring practice improvements and clinical outcomes. The authors found that, although the implementation scored some notable successes, resource limitations and organizational barriers curbed overall progress. They conclude that allowing for flexibility, monitoring the facilities consistently, and training providers thoroughly are the keys to implementing the practice guidelines throughout AMEDD. The also concluded that patient education was an area in need of improvement

eBook, Electronic resource, Book. English. Statistics. Electronic books.
Published Santa Monica, CA : Rand 2005

This resource is available electronically from the following locations


ISBN: 0833037730, 0833040731, 9780833037732, 9780833040732
Note: Includes bibliographical references (pages 173-176).
Note: Supersedes RAND/DRR-2872-A.
Note: "RAND Arroyo Center."
Note: "Center for Military Health Policy Research."
Physical Description: 1 online resource (xxxiv, 176 pages) : illustrations
Subject: HEALTH & FITNESS Diseases Respiratory.; Case Management organization & administration.; MEDICAL Pulmonary & Thoracic Medicine.; United States. Army Medical Department (1968- ); Process Assessment (Health Care); Guideline Adherence.; United States Army Medical Department.; Asthma Treatment United States Evaluation.; Asthma therapy.; POLITICAL SCIENCE International Relations Diplomacy.; Soldiers Medical care United States.; United States. Army Medical care Standards.; Military Medicine organization & administration.
Local note: JSTOR Books at JSTOR Open Access


  1. Introduction
  2. Introduction
  3. Asthma Populations and Practices at the Baseline
  4. The Guideline Implementation Process
  5. Effects of Guideline Implementation
  6. Synthesis of Findings from the Demonstration.