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P A C E

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P A C E - PowerPoint PPT Presentation


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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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Presentation Transcript
slide1
P

A

C

E

hysician

sthma

are

ducation

Evaluation Methods

slide2
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
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
Provider Knowledge

Provider

Attitudes

Provider Behavior

P

A

C

E

hysician

sthma

are

ducation

B

medical record audit
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
slide6
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
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)
slide8
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
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
P

A

C

E

hysician

sthma

are

ducation

Annual Data Collection
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