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P A C E hysician sthma are ducation Evaluation Methods Parental Factors Patient Outcomes Provider Knowledge Provider Attitudes Provider Behavior Physician Factors Patient Factors Environment Factors Health System Factors (non-MD) Other Confounders P A C E hysician

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Slide1 l.jpg

P

A

C

E

hysician

sthma

are

ducation

Evaluation Methods


Slide2 l.jpg

Parental Factors

Patient Outcomes

Provider Knowledge

Provider

Attitudes

Provider Behavior

Physician Factors

Patient Factors

Environment

Factors

Health System

Factors

(non-MD)

Other

Confounders

P

A

C

E

hysician

sthma

are

ducation

B

C

A


Provider survey l.jpg
Provider Survey

  • Measure changes in knowledge, attitudes and self-reported provider behavior

  • Self-administered

  • Immediately before and after the seminar

  • Pros & Cons:

    • Relatively inexpensive

    • Difficult to maintain high response rate

    • No patient outcomes

    • Self-reported behavior


Slide4 l.jpg

Provider Knowledge

Provider

Attitudes

Provider Behavior

P

A

C

E

hysician

sthma

are

ducation

B


Medical record audit l.jpg
Medical Record Audit

  • Measure changes in provider behavior

  • Requires trained chart reviewers

  • Pros & Cons:

    • Information regarding physician prescription, outpatient visits (urgent & non-urgent)

    • Poor documentation of asthma counseling, asthma severity

    • Consent may be required from each patient/parent

    • Information on outpatient asthma health care utilization


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C

Parental Factors

Provider Knowledge

Provider

Attitudes

Provider Behavior

Physician Factors

Patient Factors

Environment

Factors

Health System

Factors

(non-MD)

Other

Confounders

P

A

C

E

hysician

sthma

are

ducation

Patient Outcomes


Parent telephone survey l.jpg
Parent Telephone Survey

  • Measure changes in outcomes, self-management

  • Requires trained telephone interviewers

  • Pros & Cons:

    • Information on outpatient asthma health care utilization, parent perceptions of physician behavior, asthma severity and asthma control

    • Difficult to schedule, high cost

    • Consent required from each patient/parent

    • May need to confirm medications, actual physician prescription (versus patient adherence)


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D

Parental Factors

Provider Knowledge

Provider

Attitudes

Provider Behavior

Physician Factors

Patient Factors

Environment

Factors

Health System

Factors

(non-MD)

Other

Confounders

P

A

C

E

hysician

sthma

are

ducation

Patient Outcomes


Claims data l.jpg
Claims Data

  • Measure changes asthma health care utilization

  • Requires trained analyst/programmer

  • Pros & Cons:

    • Information on outpatient asthma health care utilization

    • No clinical information (appropriateness of controller medications for persistent asthma; determining if ED visit or hospitalization is due to asthma)

    • Difficult to attribute claim to a specific physician

    • Multiple patients belong to different MCOs

    • No consistent CPT codes for “asthma counseling”


Annual data collection l.jpg

P

A

C

E

hysician

sthma

are

ducation

Annual Data Collection


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