Cancer Pain Management: Pilot Implementation of the AHCPR Guideline in Utah

Rischer, Joleen B.; Childress, Susan

doi:10.1016/s1070-3241(16)30275-9

Cited by 26 publications

(12 citation statements)

References 2 publications

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“…Efforts to educate clinicians and patients about best practices range from publications and continuing education courses to ''detailing'' by personnel specifically hired for the task. 56,57 In some cases, organization leaders launch major initiatives to promote a culture change that places high value on evidence-based practice. 58,59 Obstacles Among the many obstacles to achieving clinician acceptance of practice guidelines is conflict with personally held values and beliefs.…”

Section: Step 3: Disseminate Rules and Protocols In A Local Environmentmentioning

confidence: 99%

Online Practice Guidelines: Issues, Obstacles, and Future Prospects

Zielstorff

1998

Journal of the American Medical Informatics Association

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The "guidelines movement" was formed to reduce variability in practice, control costs, and improve patient care outcomes. Yet the overall impact on practice and outcomes has been disappointing. Evidence demonstrates that the most effective method of stimulating awareness of and compliance with best practices is computer-generated reminders provided at the point of care. This paper reviews five steps along the path from the development of a guideline to its integration into practice and the subsequent evaluation of its impact on practice and outcomes. Issues arising at each step and obstacles to moving from one step to the next are described. Last, developments that could help overcome the obstacles are highlighted. These include 1) more rapid knowledge acquisition using data mining, 2) better accommodation to imprecise knowledge in clinical algorithms using fuzzy logic, 3) development of a shareable model for guideline representation and execution, and 4) more widespread availability of clinically robust information systems that support decision-making at the point of care.

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Section: Step 3: Disseminate Rules and Protocols In A Local Environmentmentioning

confidence: 99%

Online Practice Guidelines: Issues, Obstacles, and Future Prospects

Zielstorff

1998

Journal of the American Medical Informatics Association

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“…In order to ensure wise use of resources, it will be important to ascertain the needs of FPs in Canada with respect to CPGs relevant to cancer control. While many studies have focused on cancer screening [16-18] and palliative care [19,20], to our knowledge, no study has looked at what FPs consider important in terms of content, format and dissemination of guidelines related to cancer control activities. The objective of this study was to learn the views of Ontario FPs for the furtherance of cancer control efforts by the provincial cancer agency, Cancer Care Ontario.…”

Section: Introductionmentioning

confidence: 99%

Family physicians' perspectives on practice guidelines related to cancer control

2004

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“…The pain problem is affected by a number of factors, including the mistaken assumption by many primary care physicians that terminally ill cancer patients should not be allowed to become addicted to pain medications. 23 A compelling study on pain in 522 metastatic cancer patients found that one in three lung cancer patients and as many as two in three lymphoma patients were receiving inadequate analgesia. 24 Patients also contribute to the problem of undertreated cancer pain by understating their pain.…”

Section: Pain Managementmentioning

confidence: 99%

Improving Cancer Care in a Kentucky Managed Care Plan: A Case Study of Cancer Disease Management

Costich¹,

Lee²

2003

Disease Management

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CHA Health (CHA) is a provider-owned managed care plan serving a predominantly rural membership in Kentucky. Quality Oncology, Inc. is a national disease management company specializing in cancer care. This paper reports the results over the first 2 years of a cancer disease management program installed at CHA. The authors also review the evidence-based health services research that has guided the development and implementation of the program. The authors conclude that cancer is a disease state where specialized management can improve efficiency, treatment effectiveness, patient coordination, and outcomes reporting.

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Cancer Pain Management: Pilot Implementation of the AHCPR Guideline in Utah

Cited by 26 publications

References 2 publications

Online Practice Guidelines: Issues, Obstacles, and Future Prospects

Online Practice Guidelines: Issues, Obstacles, and Future Prospects

Family physicians' perspectives on practice guidelines related to cancer control

Improving Cancer Care in a Kentucky Managed Care Plan: A Case Study of Cancer Disease Management

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