文章基本信息

标题：Managing physician lipid management: a population wide, risk-based decision support approach
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作者：Lisa V. Rubenstein
期刊名称：Israel Journal of Health Policy Research
印刷版ISSN：2045-4015
电子版ISSN：2045-4015
出版年度：2015
卷号：4
期号：1
页码：34
DOI：10.1186/s13584-015-0032-9
语种：English
出版社：BioMed Central
摘要：Successful implementation of clinical guidelines for preventing complications of dyslipidemias has been an ongoing challenge. The article by Vinker and colleagues in this journal investigates the results of implementing risk-based guidelines for LDL (Low Density Lipoprotein) management in comparison to the prior approach of using the same LDL cutoff for patients at all levels of risk. Results show LDL levels dropped across the primary care population using the new risk-based approach, suggesting that clinical decision aids that link to individual patient characteristics, rather than promoting a universal target for all, may provide a particularly strong stimulus for changing provider and patient behavior. Results also challenge healthcare organizations, providers and patients to learn more about the pathway from guidelines to clinical reminders and from reminders to lower LDL levels and better population health.
关键词：Primary Care Population ; Lipid Management ; Computer Reminder ; Clalit Health Service ; Prior Coronary Artery Disease