A Comparison of Primary Care and Traditional Internal Medicine Residents
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 试验地点
- 1
- 主要终点
- To identify the differences between primary care and traditional medicine residents in clinical performance, continuity of care and utilization of resources.
研究概览
简要总结
The goal of this study is to identify objective differences between primary care and traditional medicine residents in clinical performance, continuity of care and utilization of resources. Specifically, this retrospective study will analyze the database collected by CLIMACS, the computer system at Cornell Internal Medicine Associates (CIMA). This system is used for clinical and administrative purposes; it manages and tracks patient's information and demographics, appointment booking, clinical diagnosis, prescriptions and medications, laboratory and radiology test, and consults. In our study, we will analyze a subset of the CLIMACS database from previous years.
详细描述
Three areas will be examined:
- Clinical performance
- Continuity of care
- Utilization of resources
Clinical performance will be assessed using Health Plan Employer data and Information Set (HEDIS) performance standards. These standards were developed for the purposes of quality assessment, and in our study we will examine the following HEDIS standards:
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Breast Cancer Screening- the proportion of women between the ages of 52 and 64 who have had a mammogram within a two year period.
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Cervical Cancer Screening- the proportion of women between the ages of 21 and 64 who had a Pap test in the preceding 3 years.
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Cholesterol Screening- the proportion of patients ages 20 to 39 and 40-59 who have had their cholesterol tested at least once in the past five years.
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Asthma admission rate- the proportion of asthmatics admitted to the hospital for the care of asthma per year.
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Diabetic Standards-
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Admission for cellulitis/ 1000 diabetics per year.
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Admission for diabetes/ 1000 diabetics per year.
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Inpatient days per 100 diabetics per year.
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Prevalence of ischemic heart disease.
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Prevalence of severe renal disease.
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Diabetics with >2 hemoglobin A1C drawn per year.
研究设计
- 研究类型
- Observational
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 21 Years 至 64 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients who are followed as outpatients by a Cornell affiliated internist at the Cornell Internal Medicine Associates (CIMA).
- •Patients at New York Hospital who may or may not go on to be followed as outpatients at CIMA.
排除标准
- •Patients who elect not to participate in the study.
结局指标
主要结局
To identify the differences between primary care and traditional medicine residents in clinical performance, continuity of care and utilization of resources.
次要结局
未报告次要终点