Factors Affecting Compliance with Diabetes Hypertension Guidelines. Julie C. Lowery, PhD, MHSA Sarah L. Krein, PhD, RN Lee A Green, MD, MPH Leon Wyszewianski, PhD Hyungjin Myra Kim, ScD Christine P. Kowalski, MPH VA HSR&D Center of Excellence
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Factors Affecting Compliance with Diabetes Hypertension Guidelines
Julie C. Lowery, PhD, MHSA
Sarah L. Krein, PhD, RN
Lee A Green, MD, MPH
Leon Wyszewianski, PhD
Hyungjin Myra Kim, ScD
Christine P. Kowalski, MPH
VA HSR&D Center of Excellence
University of Michigan Departments of Health Management & Policy, Family Medicine
Ann Arbor, MI
Wyszewianski L, Green LA. Strategies for changing clinicians’ practice patterns: A new perspective. J Fam Pract 2000;49:461-4.
Semi-structured telephone interviews were conducted with 2 clinical representatives at 43 participating VA medical centers to determine what strategies were implemented for meeting diabetes hypertension guidelines in the time period from 1999-2001.
All primary care physicians (PCPs) in the participating VAMCs were sent a one-page questionnaire (the physician classification instrument) regarding their responses to research findings about the efficacy of specific clinical practices. [Instrument.]
Defined as: % of each participating physician’s patients with diabetes and HTN who were on HTN meds at time of elevated BP reading, or who had in dosage or Δ in med class in 6 months following reading.
Testing without interactions:
Testing full model with all 2-way interactions between interventions and physician scale scores: