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Research Studies is a monthly compilation of research articles funded by AHRQ or authored by AHRQ researchers and recently published in journals or newsletters.
Results
1 to 13 of 13 Research Studies Displayed
Mold JW, Aspy CB, Smith PD
Leveraging practice-based research networks to accelerate implementation and diffusion of chronic kidney disease guidelines in primary care practices: a prospective cohort study.
This study was conducted to determine whether practice-based research networks (PBRNs) could increase dissemination, implementation, and diffusion of evidence-based treatment guidelines for chronic kidney disease by leveraging early adopter practices. After the intervention, the initial four PBRNs increased the use of ACEIs/ARBs, discontinuation of NSAIDs, testing for anemia, and testing and/or treatment for vitamin D deficiency. Most were able to recruit two additional practices, which also increased their use of ACEIs/ARBs and testing and/or treatment of vitamin D deficiency. The researchers concluded that, with some assistance, early adopter practices can facilitate the diffusion of evidence-based approaches to other practices.
AHRQ-funded; HS019945.
Citation:
Mold JW, Aspy CB, Smith PD .
Leveraging practice-based research networks to accelerate implementation and diffusion of chronic kidney disease guidelines in primary care practices: a prospective cohort study.
Implement Sci 2014 Nov 23;9:169. doi: 10.1186/s13012-014-0169-x.
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Keywords:
Guidelines, Innovations and Emerging Issues, Kidney Disease and Health, Practice-Based Research Network (PBRN), Primary Care
Berliner E
Adopting medical technology.
This editorial described a study by Gold and colleagues within this issue concerning the treatment accelerated partial breast irradiation (APBI), which was incorporated into clinical practice with few data on its benefits and risks. Berliner recommends a coordinated approach to evidence generation.
AHRQ-authored.
Citation:
Berliner E .
Adopting medical technology.
Med Decis Making 2014 Nov;34(8):948-50. doi: 10.1177/0272989x14546378.
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Keywords:
Evidence-Based Practice, Innovations and Emerging Issues, Medical Devices
Lyles CR, Aulakh V, Jameson W
Innovation and transformation in California's safety net health care settings: an inside perspective.
The authors investigated how safety net settings will innovate in order to achieve transformation of care delivery. Through informant interviews, they found that safety net systems have already begun implementing innovative practices supporting their key priority areas, but that more support is needed, specifically to accelerate the change needed to succeed under health reform.
AHRQ-funded; HS017594.
Citation:
Lyles CR, Aulakh V, Jameson W .
Innovation and transformation in California's safety net health care settings: an inside perspective.
Am J Med Qual 2014 Nov-Dec;29(6):538-45. doi: 10.1177/1062860613507474.
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Keywords:
Healthcare Delivery, Policy, Innovations and Emerging Issues, Organizational Change, Safety Net
Cohen MJ, Morton S, Scholle SH
Self-management support activities in patient-centered medical home practices.
This study is a survey of small practices of fewer than 5 physicians with National Committee for Quality Assurance recognition. Practices reported a high proportion of self-management support activities, while practices that perform more of these activities have more nonindependent health care providers.
AHRQ-funded; HS019162.
Citation:
Cohen MJ, Morton S, Scholle SH .
Self-management support activities in patient-centered medical home practices.
J Ambul Care Manage 2014 Oct-Dec;37(4):349-58. doi: 10.1097/jac.0000000000000040.
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Keywords:
Quality of Care, Innovations and Emerging Issues, Patient-Centered Healthcare, Primary Care, Patient Self-Management
Adler-Milstein J, DesRoches CM, Furukawa MF
More than half of US hospitals have at least a basic EHR, but stage 2 criteria remain challenging for most.
The investigators used American Hospital Association data to assess progress and challenges in EHR adoption. They found that most hospitals are able to meet many of the stage 2 meaningful-use criteria, but only 5.8 percent of hospitals are able to meet them all.
AHRQ-authored.
Citation:
Adler-Milstein J, DesRoches CM, Furukawa MF .
More than half of US hospitals have at least a basic EHR, but stage 2 criteria remain challenging for most.
Health Aff 2014 Sep;33(9):1664-71. doi: 10.1377/hlthaff.2014.0453.
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Keywords:
Electronic Health Records (EHRs), Health Information Technology (HIT), Hospitals, Innovations and Emerging Issues
Gidengil C, Mangione-Smith R, Bailey LC
Using Medicaid and CHIP claims data to support pediatric quality measurement: lessons from 3 centers of excellence in measure development.
The investigators sought to explore the claims data-related issues relevant to quality measure development for Medicaid and the Children's Health Insurance Program (CHIP), illustrating the challenges encountered and solutions developed around 3 distinct performance measure topics: care coordination for children with complex needs, quality of care for high-prevalence conditions, and hospital readmissions. Their three Centers of Excellence in pediatric quality measurement used innovative methods to develop algorithms that use Medicaid claims data to identify children with complex needs; to overcome some shortcomings of existing data for measuring quality of care for common conditions such as otitis media; and to identify readmissions after hospitalizations for lower respiratory infections.
AHRQ-funded; HS020513; HS020506; HS020508.
Citation:
Gidengil C, Mangione-Smith R, Bailey LC .
Using Medicaid and CHIP claims data to support pediatric quality measurement: lessons from 3 centers of excellence in measure development.
Acad Pediatr 2014 Sep-Oct;14(5 Suppl):S76-81. doi: 10.1016/j.acap.2014.06.014.
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Keywords:
Children's Health Insurance Program (CHIP), Innovations and Emerging Issues, Medicaid, Quality Indicators (QIs), Quality Measures
Jones EB, Furukawa MF
Adoption and use of electronic health records among federally qualified health centers grew substantially during 2010-12.
The authors examined factors associated with EHR adoption among federally qualified health centers. They found that only one-third of health centers had EHR systems that could meet CMS's stage 1 meaningful-use core requirements, and that health centers that met the stage 1 requirements had more than twice the odds of receiving quality recognition, compared with centers with less than basic EHRs.
AHRQ-authored.
Citation:
Jones EB, Furukawa MF .
Adoption and use of electronic health records among federally qualified health centers grew substantially during 2010-12.
Health Aff 2014 Jul;33(7):1254-61. doi: 10.1377/hlthaff.2013.1274.
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Keywords:
Electronic Health Records (EHRs), Quality of Care, Innovations and Emerging Issues
Lavallee DC, Wicks P, Alfonso Cristancho R
Stakeholder engagement in patient-centered outcomes research: high-touch or high-tech?
In this article, the authors compared and contrasted high-tech and high-touch approaches to engaging stakeholders and suggested hybrid processes.
AHRQ-funded; HS022135; HS022959.
Citation:
Lavallee DC, Wicks P, Alfonso Cristancho R .
Stakeholder engagement in patient-centered outcomes research: high-touch or high-tech?
Expert Rev Pharmacoecon Outcomes Res 2014 Jun;14(3):335-44. doi: 10.1586/14737167.2014.901890.
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Keywords:
Health Information Technology (HIT), Innovations and Emerging Issues, Patient and Family Engagement, Patient-Centered Healthcare, Patient-Centered Outcomes Research
Hsiao CJ, Hing E, Ashman J
Trends in electronic health record system use among office-based physicians: United States, 2007-2012.
The authors used National Ambulatory Medical Care Survey (NAMCS) data to present trends in the adoption of electronic health records (EHRs) by office-based physicians during 2007-2012. They found that the difference in adoption of a fully functional EHR system between physicians in practices with 11 or more physicians compared with solo practitioners was 10.4 percentage points in 2007; the gap widened to 30.6 percentage points in 2012.
AHRQ-authored.
Citation:
Hsiao CJ, Hing E, Ashman J .
Trends in electronic health record system use among office-based physicians: United States, 2007-2012.
Natl Health Stat Report. 2014 May 20;(75):1-18..
Keywords:
Electronic Health Records (EHRs), Innovations and Emerging Issues, Ambulatory Care and Surgery
Kappagoda S, Ioannidis JP
Prevention and control of neglected tropical diseases: overview of randomized trials, systematic reviews and meta-analyses.
The purpose of this review was to analyze evidence from randomized controlled trials (RCTs) on the prevention and control of neglected tropical diseases (NTDs) and to identify areas where evidence is lacking. The most studied diseases were geohelminth infection (51 RCTs) and leishmaniasis (46 RCTs). Vaccines, chemoprophylaxis and interventions targeting insect vectors were evaluated in 113, 99 and 39 RCTs, respectively. Few addressed how best to deliver preventive chemotherapy.
AHRQ-funded; HS000028.
Citation:
Kappagoda S, Ioannidis JP .
Prevention and control of neglected tropical diseases: overview of randomized trials, systematic reviews and meta-analyses.
Bull World Health Organ 2014 May;92(5):356-66c. doi: 10.2471/blt.13.129601..
Keywords:
Prevention, Innovations and Emerging Issues, Evidence-Based Practice, Infectious Diseases
Wells G, Beaton DE, Tugwell P
Updating the OMERACT filter: discrimination and feasibility.
This article reports on an OMERACT (Outcome Measures in Rheumatology) session designed to evaluate key aspects of discrimination and feasibility proposed for the Filter 2.0 framework which had been discussed earlier. There was general agreement that the more explicit explanations of discrimination and feasibility to be included in Filter 2.0 would be a help to developers of core outcome measures.
AHRQ-funded; HS013852
Citation:
Wells G, Beaton DE, Tugwell P .
Updating the OMERACT filter: discrimination and feasibility.
J Rheumatol. 2014 May;41(5):1005-10. doi: 10.3899/jrheum.131311..
Keywords:
Outcomes, Innovations and Emerging Issues, Evidence-Based Practice
D'Agostino MA, Boers M, Kirwan J
Updating the OMERACT filter: implications for imaging and soluble biomarkers.
The Outcomes Measures in Rheumatology (OMERACT) Filter provides a framework for the validation of outcome measures for use in rheumatology clinical research. This article reports on the Imaging and Soluble Biomarker Session at OMERACT II that aimed to provide a guide for the iterative development of an imaging or biochemical measurement instrument so it can be used in therapeutic assessment.
AHRQ-funded; HS013852
Citation:
D'Agostino MA, Boers M, Kirwan J .
Updating the OMERACT filter: implications for imaging and soluble biomarkers.
J Rheumatol. 2014 May;41(5):1016-24. doi: 10.3899/jrheum.131313..
Keywords:
Imaging, Outcomes, Innovations and Emerging Issues
Kesselheim AS, Xu S
Clinicians' contributions to the development of coronary artery stents: a qualitative study of transformative device innovation.
In order to better understand medical device innovation, the researchers conducted interviews with the innovators whose work contributed to the development of coronary artery stents. They found that individual physician-inventors saw the need for coronary artery stents in their clinical practice and then developed prototypes with the support of academic medical centers, followed by early validation studies.
AHRQ-funded; HS018465
Citation:
Kesselheim AS, Xu S .
Clinicians' contributions to the development of coronary artery stents: a qualitative study of transformative device innovation.
PLoS One. 2014 Feb 12;9(2):e88664. doi: 10.1371/journal.pone.0088664..
Keywords:
Heart Disease and Health, Innovations and Emerging Issues, Practice Patterns
