Facilitating quality improvement in physician management of comorbid chronic disease in an urban minority practice

• Published in: Journal of the National Medical Association Vol. 99; no. 4; pp. 377 - 383
• Main Authors: KAHN, Linda S, FOX, Chester H, OLAWAIYE, Adefunke, SERVOSS, Timothy J, MCLEAN-PLUNKETT, Elizabeth
• Format: Journal Article
• Language: English
• Published: Thorofare, NJ Slack 01.04.2007; Elsevier Limited; National Medical Association
• Subjects: African Americans; Aged; Biological and medical sciences; Chronic Disease - ethnology; Chronic Disease - prevention & control; Comorbidity; Evidence-Based Medicine; Family Practice - standards; Female; General aspects; Guideline Adherence - statistics & numerical data; Health participants; Humans; Male; Medical Audit; Medical sciences; Middle Aged; New York - epidemiology; Pilot Projects; Primary Health Care - standards; Program Evaluation; Public health. Hygiene; Public health. Hygiene-occupational medicine; Quality Assurance, Health Care; Urban Health Services - standards; New York; primary healthcare; Urban environment; Health staff; Primary health care; Chronic disease; Physician; Urban area; Improvement; Concomitant disease; Chronic; Multiple comorbid diseases; comorbidity; Minority; Professional practice; Quality; quality improvement; Tropical medicine; Public health; Quality management

Increasing numbers of patients with multiple chronic conditions present in the primary care setting and pose a challenge to physicians who must cope with competing demands while adhering to clinical practice guidelines. We tested a chart audit tool to assess how physicians are managing patients with...