tailieunhanh - Báo cáo y học: " Part I, Patient perspective: activating patients to engage their providers in the use of evidencebased medicine: a qualitative evaluation of the VA Project to Implement Diuretics (VAPID)"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Part I, Patient perspective: activating patients to engage their providers in the use of evidencebased medicine: a qualitative evaluation of the VA Project to Implement Diuretics (VAPID) | Pilling et al. Implementation Science 2010 5 23 http content 5 1 23 Implementation Science IMPLEMENTATION SCIENCE RESEARCH ARTICLE Open Access Part I Patient perspective activating patients to engage their providers in the use of evidencebased medicine a qualitative evaluation of the VA Project to Implement Diuretics VAPID 1 1 11 Stacey A Pilling Monica B Williams Rachel Horner Brackett Ryan Gourley Mark W Vander Weg Alan J Christensen1 2 3 Peter J Kaboli1 2 Heather Schacht Reisinger1 2 Abstract Background This qualitative evaluation follows a randomized-control trial of a patient activation intervention in which hypertensive patients received a letter in the mail asking them to discuss thiazide diuretics with their provider. Results of the parent study indicated that the intervention was effective at facilitating discussions between patients and providers and enhancing thiazide prescribing rates. In the research presented here our objective was to interview patients to determine their receptivity to patient activation a potential leverage point for implementing interventions. Methods Semi-structured phone interviews were conducted with 54 patients purposefully sampled from a randomized controlled trial of a patient activation intervention. All subjects had a history of hypertension and received primary care from one of twelve Veterans Affairs primary care clinics. All interviews were transcribed verbatim and reviewed by the interviewer. Interviews were independently coded by three qualitative researchers until consensus was attained and relevant themes and responses were identified grouped and compared. NVivo was used for data management and analysis. Results Data from this qualitative study revealed that most participants held favorable opinions toward the patient activation intervention used in the clinical trial. Most 82 stated they had a positive reaction. Patients emphasized they liked the intervention because it was .