The implementation of clinical guidelines in a managed care setting: implications for children with special health care needs Journal Article uri icon
  • OVERVIEW: The project tracked the development and implementation of a pediatric asthma guideline to determine its usefulness as a quality assurance mechanism for children with special health care needs. METHODS: Interviews were conducted with clinic staff to gather descriptive information about guideline implementation at owned clinics within a large HMO. RESULTS: Providers developed multiple implementation strategies emphasizing patient/family education. Service coordination within the health plan was well established, while coordination of services beyond the health plan was less clearly related to guideline implementation. CONCLUSION: Guideline implementation appeared to be a highly variable process. Clinical guidelines alone may not be sufficient tools of quality assurance for children with chronic or complex conditions.

  • publication date
  • 2000
  • published in
  • *Practice Guidelines
  • Adolescent
  • Algorithms
  • Asthma/diagnosis/*therapy
  • Child
  • Child Health Services/standards
  • Chronic Disease
  • Continuity of Patient Care/organization & administration
  • Disabled Children
  • Health Maintenance Organizations/*standards
  • Minnesota
  • Organizational Case Studies
  • Pediatrics/*standards
  • Program Evaluation
  • Additional Document Info
  • 8
  • issue
  • 2