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Card studies for observational research in practice
John M Westfall1, Linda Zittleman, Elizabeth W Staton
1Department of Family Medicine, University of Colorado, Denver School of Medicine, Aurora, CO, USA. Jack.westfall@ucdenver.edu
Insights
Card studies, a method for collecting patient data at the point-of-care, offer robust descriptive insights into primary care. These observational studies effectively capture clinical problems, management, and outcomes, remaining valuable for research.
Area of Science:
- Primary Care Research
- Health Services Research
- Clinical Informatics
Background:
- Card studies, a type of observational study, have been utilized for over 30 years to gather patient-level survey data at the point-of-care.
- These studies are instrumental in describing clinical problems, management strategies, and patient outcomes within primary care settings.
Purpose of the Study:
- To describe two distinct types of card studies and outline the methodologies for their implementation.
- To provide a comprehensive overview of conducting effective card studies in primary care research.
Main Methods:
- A descriptive review of card studies was conducted across three practice-based research networks in Colorado and other networks nationwide.
- Experiences from the State Networks of Colorado Ambulatory Practices and Partners (SNOCAP) were summarized to inform the review.
Main Results:
- Card studies can be designed for specific condition research (clinician-initiated based on inclusion criteria) or for trend/prevalence determination (clinician-initiated for all patients during a period).
- Data collection can involve clinicians and patients, with the capability for data linkage between sources.
Conclusions:
- Card studies yield valuable cross-sectional descriptive data on clinical care, patient knowledge and behaviors, care perceptions, and condition prevalence.
- These studies are confirmed as a robust and enduring methodology for describing the landscape of primary care.
Purpose:
Observational studies that collect patient-level survey data at the point-of-care are often called card studies. Card studies have been used to describe clinical problems, management, and outcomes in primary care for more than 30 years. In this article we describe 2 types of card studies and the methods for conducting them.
Methods:
We undertook a descriptive review of card studies conducted in 3 Colorado practice-based research networks and several other networks throughout the United States. We summarized experiences of the State Networks of Colorado Ambulatory Practices and Partners (SNOCAP).
Results:
Card studies can be designed to study specific conditions or care (clinicians complete a card when they encounter patients who meet inclusion criteria) and to determine trends and prevalence of conditions (clinicians complete a card on all patients seen during a period). Data can be collected from clinicians and patients and can be linked.
Conclusions:
Card studies provide cross-sectional descriptive data about clinical care, knowledge and behavior, perception of care, and prevalence of conditions. Card studies remain a robust method for describing primary care.
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