An evaluation of the delivery of clinical preventive services in the Joint Task Force National Capital Region Medical.
Mil Med
; 176(6): 679-84, 2011 Jun.
Article
en En
| MEDLINE
| ID: mdl-21702388
ABSTRACT
The Walter Reed Army Institute of Research General Preventive Medicine Residency conducted a performance improvement study to evaluate clinical preventive services (CPSs) in the National Capital Region. This study focused on enhancing medical care through quality management of both the process and measurement of service delivery, thereby improving the overall quality of a service by examining its constituent parts. Screening mammography and pneumococcal immunization were the CPSs selected for evaluation, and 9 of 40 military treatment facilities (MTFs) were visited. Mammography completion ranged from 64% to 81%. The process of providing mammography to eligible enrollees varied greatly among MTFs, and the majority did not utilize all identified steps deemed critical for mammography completion. Pneumococcal immunization ranged from 0% to 21%. There was a positive correlation between CPS completion, the number of eligible enrollees, and the use of critical steps. Recommendations include using critical steps to evaluate and improve MTFs' CPS processes.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Evaluación de Procesos y Resultados en Atención de Salud
/
Servicios Preventivos de Salud
/
Mamografía
/
Vacunación
/
Vacunas Neumococicas
/
Atención a la Salud
Tipo de estudio:
Evaluation_studies
/
Guideline
/
Prognostic_studies
/
Sysrev_observational_studies
Aspecto:
Determinantes_sociais_saude
/
Implementation_research
Límite:
Female
/
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Mil Med
Año:
2011
Tipo del documento:
Article
País de afiliación:
Estados Unidos