ACP American College of Physicians - Internal Medicine - Doctors for Adults

November/December 2001


A CQI Intervention To Change the Care of Depression: A Controlled Study
Leif I. Solberg, Lucy Rose Fischer, Feifei Wei, William A. Rush, Kathleen S. Conboy, Thomson F. Davis, and Richard L. Heinrich

Development and implementation of a graded set of five care management options failed to improve treatment for depression. Why? Reasons include: lack of sufficient physician buy-in and an environment that was not conducive to change.
Full Text  |  Print Version (PDF)

Caregiver Perceptions of the Reasons for Delayed Hospital Discharge
Tracey M. Minichiello, Andrew D. Auerbach, and Robert M. Wachter

Timely discharge from the hospital is crucial for cost-containment; however, caregivers at the same institutions perceive different barriers to this goal. Improved communication is the most obvious way to reduce unnecessary hospital days.
Full Text  |  Print Version (PDF)

Effect of a Self-Mangement Program on Patients with Chronic Disease
Kate R. Lorig, David S. Sobel, Philip L. Ritter, Diana Laurent, and Mary Hobbs

The results of a recent randomized clinical trial demonstrating the potential of self-management to improve health status and reduce health care utilization in patients with chronic diseases were reproduced in a real-world setting.
Full Text  |  Print Version (PDF)


A Practice-Based Approach for Converting from Proton Pump Inhibitors to Less Costly Therapy
Linda M. Lucas, Martha S. Gerrity, and Thomas Anderson

Although many people require a proton pump inhibitor (PPI) for control of dyspepsia, symptom control can often be achieved with an H2 blocker. This low-intensity, practice-based intervention was successful in reducing PPI costs by 30%, a reduction that was sustained for three quarters after the conversion process.
Full Text  |  Print Version (PDF)


Screening for Diabetes Mellitus in High-Risk Patients: Cost, Yield, and Acceptability
Patrick J. O'Connor, William A. Rush, Linda M. Cherney, and Nicolaas P.

The authors invited patients with high cholesterol and hypertension to participate in a diabetes screening program. In addition to high costs, the program had low acceptability and low yield.
Full Text  |  Print Version (PDF)


Quality Improvement Can't Be Optional
Full Text  |  Print Version (PDF)

Finding Undiagnosed Type 2 Diabetes: Is it Worth the Effort?
Full Text  |  Print Version (PDF)


Type I and Type II Errors
Full Text  |  Print Version (PDF)

Thank You to Reviewers
Full Text  |  Print Version (PDF)