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Related Experiment Videos

Tailored outreach visits as a method for implementing guidelines and improving preventive care

M E Hulscher1, B B van Drenth, H G Mokkink

  • 1Centre for Quality of Care Research, University of Nijmegen, The Netherlands. m.hulscher@hsv.kun.nl

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
|August 5, 1998
PubMed
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Outreach visits effectively tailor cardiovascular disease prevention assistance to individual practices. Tailoring ensures efficient use of resources, though standardizing visitor time may enhance cost-effectiveness.

Area of Science:

  • Health Services Research
  • Preventive Medicine
  • General Practice

Background:

  • Successful outreach visit studies emphasize tailoring interventions to practice-specific needs.
  • Understanding the tailoring mechanism in outreach visits is crucial for improving healthcare delivery.
  • Variation exists in how preventive outreach visits are implemented across different practices.

Purpose of the Study:

  • To explore the tailoring mechanism in outreach visits for guideline implementation.
  • To describe variations in preventive outreach visits and their determining characteristics.
  • To investigate visit allocation for practices not showing guideline adherence improvement.

Main Methods:

  • Six trained nurse visitors provided assistance to 33 family practices over 18 months.

Related Experiment Videos

  • Intervention focused on implementing cardiovascular disease prevention guidelines.
  • Measured visit parameters, consultative actions, and changes in guideline adherence.

    • Main Results:

    • Significant variation observed in visit and consultative action parameters among practices.
    • Baseline adherence, practice, and visitor characteristics influenced the number of visits.
    • Visitor characteristics strongly correlated with the total time spent on visits and training.

    Conclusions:

    • Outreach assistance is largely adapted to individual clinic attributes, particularly regarding visit numbers.
    • Standardizing visitor performance, specifically visit length, could improve cost-effectiveness.
    • The tailoring mechanism optimizes time spent assisting practices, contributing to outreach method development.