Primary Care Practice Transformation is Hard Work

Primary Care Practice Transformation

Implementation of "Chronic Care Model" for Diabetes Care in Iranian Primary Health Care: Does it work?

Objective: Traditional health care systems were not capable to face successfully with chronic diseases including diabetes mellitus. In this regard, the Chronic Care Model or CCM was created to promote quality of care. The aim of this study was to examine whether establishment of chronic care model, with focus on diabetic patients, has led to clinically significant outcomes in Iran. Materials a...

IS Requirements and Work Transformation

In this paper IS requirement analysis is discussed from the perspective of work transformation. A process modelling approach, which treat computer systems as a part of human activity, is introduced. In this way the object of analysis and design should be on the work organisation rather than on the software product. Four case examples are used to illustrate the connection between changing organi...

How good is the evidence to support primary care practice?

Our goal was to determine the extent to which recommendations for primary care practice are informed by high-quality research-based evidence, and the extent to which they are based on evidence of improved health outcomes (patient-oriented evidence). As a substrate for study, we used Essential Evidence, an online, evidence-based, medical reference for generalists. Each of the 721 chapters makes ...

Breaking up is hard to do: lessons learned from a pharma-free practice transformation.

BACKGROUND Academic medical centers are examining relationships with the pharmaceutical industry and making changes to limit interactions. Most doctors, however, practice outside of academic institutions and see pharmaceutical detailers and accept drug samples and gifts. Little guidance for practicing physicians exists about transforming practices to become pharma-free. Consideration must be gi...