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Chronic disease management quality improvement efforts yield better care delivery

ase monitoring and treatment.

However, even though processes were improved, the researchers found no improvement in intermediate outcomes, including:

  • Control of glycated hemoglobin for people with diabetes.
  • Control of blood pressure to normal levels for patients with hypertension.
  • No reduction in urgent care, emergency department visits, or hospitalization for people with asthma.

Researchers observed that this focus on short term outcomes to the exclusion of important longer term outcomes may underestimate the true effect of quality improvement collaboratives.

There is still much to learn about the tools and methods for quality improvement and their potential effectiveness, Landon said. The substantial room for improvement in the post intervention period suggests the need for continued refinement of these quality improvement methods.


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Contact: AHRQ Public Affairs
301-427-1855
Harvard Medical School
1-Mar-2007


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