About this Medicine article
Clinical Practice Guidelines and Quality of Care for Older Patients With Multiple Comorbid Diseases: Implications for Pay for Performance by Cynthia M. Boyd; Jonathan Darer; Chad Boult; Linda P. Fried; Lisa Boult; Albert W. Wu is a Medicine article available to read on EtoBox.
## Context: Clinical practice guidelines (cpgs) have been developed to improve the quality of health care for many chronic conditions. pay-for-performance initiatives assess physician adherence to interventions that may reflect cpg recommendations. ## Objective: To evaluate the applicability of cpgs to the care of older individuals with several comorbid diseases. ## Data sources: The national health interview survey and a nationally representative sample of medicare beneficiaries (to identify the most prevalent chronic diseases in this population); the national guideline clearinghouse (for locating evidence-based cpgs for each chronic disease). ## Study selection: Of the 15 most common chronic diseases, we selected hypertension, chronic heart failure, stable angina, atrial fibrillation, hypercholesterolemia, diabetes mellitus, osteoarthritis, chronic obstructive pulmonary disease, and osteoporosis, which are usually managed in primary care, choosing cpgs promulgated by national and international medical organizations for each. ## Data extraction: Two investigators independently assessed whether each cpg addressed older patients with multiple comorbid diseases, goals of treatment, i
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- Author
- Cynthia M. Boyd; Jonathan Darer; Chad Boult; Linda P. Fried; Lisa Boult; Albert W. Wu
- Publisher
- American Medical Association (AMA)
- Published
- 2005
- Language
- EN
- Field
- Medicine (Health Sciences)