The Development of a Prospective Data Collection Process in a Traditional Chinese Medicine Teaching Clinic

Maiers, Michele; McKenzie, Eileen; Evans, Roni; McKenzie, Mark Interviewer:

doi:10.1089/acm.2008.0224

Cited by 9 publications

(3 citation statements)

References 31 publications

(30 reference statements)

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“…31], there are only few examples in the literature following the concept of quality profiling of providers of TCM treatment in general. A prospective data collection project was developed and implemented in an outpatient clinic in the USA using self-report questionnaires before admission and one month after discharge [32]. For inpatient TCM treatment there is another example from a German TCM hospital practicing a systematic patient documentation to evaluate outcome quality [33].…”

Section: Discussionmentioning

confidence: 99%

Quality Profiling at the TCM Hospital Bad Kötzting - Examples from an Ongoing Systematic Patient Documentation

Weidenhammer

Melchart²

2016

Complement Med Res

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Background: Quality profiling is practiced at the TCM hospital Bad Kötzting since its establishment 25 years ago. The profiling comprises assessment of treatment effectiveness andsafety, structural features, staff qualification as well as diagnostic and therapeutic processes. Findings regarding patients, intervention and outcome profiles are presented by appropriate examples. Methods: Data of each in-patient were systematically collected by physicians and via self-reports at admission, discharge and follow-up. Over the years the system was adjusted several times resulting in a data pool of about 19,000 in-patients by end of 2014. Results: Patients are 52 years old on average, 70% are female, and suffering from the main complaint since 7 years (median). The diagnostic spectrum changed over the years according to the development towards a psychosomatic focus. For TCM acupuncture therapy 222 different acupoints were used in 7.7 different localisations on average per individual treatment. The mean intensity of the main complaint decreased clinically relevant (Cohen's d = 1.11 at discharge and 0.93 at follow-up). After the hospital stay the number of days of sick leave declined from 51.3 days by 40% per patient and year. Depressive disorders as most common mental illness decreased significantly decreased significantly at discharge (ICD symptom rating; Cohen's d = -1.01). 29.8% of patients met the criteria for a metabolic syndrome diagnosis according to the International Diabetes Federation (IDF). In this group of cases, triglycerides, cholesterol and blood glucose improved markedly at discharge. Discussion: The presented quality control measures clearly contribute to an enhanced transparency in terms of a comprehensive quality profile. The findings from various outcome parameters indicate that patients benefit from the treatment.

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Section: Discussionmentioning

confidence: 99%

Quality Profiling at the TCM Hospital Bad Kötzting - Examples from an Ongoing Systematic Patient Documentation

Weidenhammer

Melchart²

2016

Complement Med Res

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“…The findings from this study may guide documentation of medical records (such as collecting data on treatment outcomes) [ 21 ], provide data for the planning of clinical research projects [ 22 ], and inform curriculum design for the CM learning program [ 22 ]. Moreover, understanding the profiles and behaviors of patients will promote the use of the clinic by potential patients and improve the treatment quality.…”

Section: Discussionmentioning

confidence: 99%

Management of respiratory disorders in a Chinese medicine teaching clinic in Australia: review of clinical records

et al. 2015

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BackgroundPeople seek Chinese medicine (CM) treatments for a variety of respiratory disorders, e.g., asthma and upper respiratory tract infection (URTI). No previous studies have reviewed the data available in medical records from Australian clinics. This study aims to identify the characteristics of patients with respiratory disorders who visited a CM teaching clinic at RMIT University in Melbourne, Australia.MethodsPrimary data from January 2010 to December 2011 were collected from patient records in a CM teaching clinic at RMIT University. Patient data, including demographics, primary complaint, clinical history, lifestyle, CM treatment, and adverse events, were analyzed with descriptive statistics and the Chi square test using SPSS version 21.0.ResultsFrom 1677 clinical records we identified 261 patients with respiratory disorders. The patients made a total of 842 visits (mean: 3.2 visits/patient; range: 1–34 visits) during the study period. The mean age of the patients was 38.5 ± 17.9 years, and the majority were female (65.5 %). The most common respiratory disorders were URTI (27.8 %), cough (20.8 %), hay fever or allergic rhinitis (18.6 %), sinus congestion (11.2 %), and asthma (7.6 %). Acupuncture was given at almost all visits (97.5 %) and was frequently combined with herbs (64.0 %). Fifteen adverse events were reported, but none were considered severe.ConclusionIn the CM teaching clinic, respiratory conditions were a common presenting complaint of patients, and were safely treated with a combination of acupuncture and herbs.Electronic supplementary materialThe online version of this article (doi:10.1186/s13020-015-0063-8) contains supplementary material, which is available to authorized users.

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“…Maiers et al have described the use of a standardized data collection process for a group of patients who chose to have acupuncture treatment. They suggested that this data could then be utilized in a clinical teaching setting 1 , 2 . Another approach to standardizing clinical data was to use structured text and templates to help improve health status outcomes and quality of health care 3 .…”

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confidence: 99%

An Online Multimedia Treatment Planning Tool: Effect on Dental Students’ Knowledge in Using Standardized Clinical Data

Bufano

Branch-Mays

Gilliam

et al. 2010

Journal of Dental Education

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A multidisciplinary, multimedia, online Treatment Planning Data Acquisition Tool (TPDat) containing standardized information was created at the University of Maryland Dental School to improve students' actual and perceived knowledge in and self-assessed conidence about the gathering and recording of standardized data at a patient's initial visit. Students from the classes of 2009 (seniors) and 2010 (juniors) completed a pre-test (2009 N=93, 79 percent of the class; 2010 N=105, 85 percent) and an unannounced post-test six months later (2009 N=46, 40 percent; 2010 N=102, 83 percent). Multiple-choice items were used to test student knowledge, and a Likert scale was used to assess perceived knowledge and conidence (1=low to 5=high). The students also assessed the degree of helpfulness of the different TPDat sections. Juniors' knowledge about information in the TPDat was signiicantly higher at the post-test (11.9±1.6) than the pre-test (11.0±1.9, F=13.545, p±0.0001). Their conidence was also signiicantly higher at the post-test (3.58±0.5) compared to the pre-test (3.34±0.6, F=11.417, p=0.001). Seniors' perceived knowledge on the pre-test (3.87±0.4) was signiicantly lower than six months later (4.03±0.4, F=3.984, p=0.048). Seniors' knowledge and conidence pre-test scores were not signiicantly different from their post-test scores. No signiicant difference was found between the 2009 (11.3) and 2010 (11.9) levels of knowledge at the post-test. Since there was no signiicant difference in post-test knowledge scores between juniors and seniors (who had twelve months longer experience), this may indicate that the TPDat was the deciding factor in knowledge acquisition. The results showed that the TPDat facilitated learning and standardization of gathering and recording of clinical data.

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The Development of a Prospective Data Collection Process in a Traditional Chinese Medicine Teaching Clinic

Cited by 9 publications

References 31 publications

Quality Profiling at the TCM Hospital Bad Kötzting - Examples from an Ongoing Systematic Patient Documentation

Quality Profiling at the TCM Hospital Bad Kötzting - Examples from an Ongoing Systematic Patient Documentation

Management of respiratory disorders in a Chinese medicine teaching clinic in Australia: review of clinical records

An Online Multimedia Treatment Planning Tool: Effect on Dental Students’ Knowledge in Using Standardized Clinical Data

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