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P A C E

P A C E hysician sthma are ducation Evaluation Methods Parental Factors Patient Outcomes Provider Knowledge Provider Attitudes Provider Behavior Physician Factors Patient Factors Environment Factors Health System Factors (non-MD) Other Confounders P A C E hysician

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P A C E

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  1. P A C E hysician sthma are ducation Evaluation Methods

  2. Parental Factors Patient Outcomes Provider Knowledge Provider Attitudes Provider Behavior Physician Factors Patient Factors Environment Factors Health System Factors (non-MD) Other Confounders P A C E hysician sthma are ducation B C A

  3. Provider Survey • Measure changes in knowledge, attitudes and self-reported provider behavior • Self-administered • Immediately before and after the seminar • Pros & Cons: • Relatively inexpensive • Difficult to maintain high response rate • No patient outcomes • Self-reported behavior

  4. Provider Knowledge Provider Attitudes Provider Behavior P A C E hysician sthma are ducation B

  5. Medical Record Audit • Measure changes in provider behavior • Requires trained chart reviewers • Pros & Cons: • Information regarding physician prescription, outpatient visits (urgent & non-urgent) • Poor documentation of asthma counseling, asthma severity • Consent may be required from each patient/parent • Information on outpatient asthma health care utilization

  6. C Parental Factors Provider Knowledge Provider Attitudes Provider Behavior Physician Factors Patient Factors Environment Factors Health System Factors (non-MD) Other Confounders P A C E hysician sthma are ducation Patient Outcomes

  7. Parent Telephone Survey • Measure changes in outcomes, self-management • Requires trained telephone interviewers • Pros & Cons: • Information on outpatient asthma health care utilization, parent perceptions of physician behavior, asthma severity and asthma control • Difficult to schedule, high cost • Consent required from each patient/parent • May need to confirm medications, actual physician prescription (versus patient adherence)

  8. D Parental Factors Provider Knowledge Provider Attitudes Provider Behavior Physician Factors Patient Factors Environment Factors Health System Factors (non-MD) Other Confounders P A C E hysician sthma are ducation Patient Outcomes

  9. Claims Data • Measure changes asthma health care utilization • Requires trained analyst/programmer • Pros & Cons: • Information on outpatient asthma health care utilization • No clinical information (appropriateness of controller medications for persistent asthma; determining if ED visit or hospitalization is due to asthma) • Difficult to attribute claim to a specific physician • Multiple patients belong to different MCOs • No consistent CPT codes for “asthma counseling”

  10. P A C E hysician sthma are ducation Annual Data Collection

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