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Seven out of these papers reported some improvement in health outcomes, with others reporting improved processes of care.
In conclusion, improved processes of care, better documentation, and/or increased measures to promote adherence to all primary and adjunctive therapies for HF are needed.
The disease management program also improved processes of care and intermediate outcomes.
In conclusion, a multifactorial intervention centered on pharmacist-physician collaboration improved processes of care but did not result in reduction in BP.
6 Although there was evidence that the LCP improved processes of care, for example, anticipatory prescribing of drugs for symptom control, prospective evidence of its benefits to patient outcomes, for example, improvement in symptoms, was lacking.
Some care systems with intense disease management programs have improved processes of care but not necessarily intermediate outcomes (12), and correlations between system-level performance for processes of care and for intermediate outcomes such as risk factor control are weak (13).
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Other recent results indicate that computerized clinical decision support systems (CCDSSs), a feature that is often linked to the EHR, inconsistently improved process of care measures and seldom improved patient outcomes.
Improving processes of care may not necessarily translate to improvement in patient outcomes; longer term prospective studies are needed to determine whether similar interventions reduce adverse outcomes such as progression of CKD and cardiovascular events.
Rather than directly rewarding improved patient outcomes, these schemes generally provide incentives to doctors for improving processes of care (for example, blood pressure checks for patients with hypertension) and intermediate outcomes (for example, cholesterol control in people with diabetes).
Most of them are food-related and concerned with improving processes of manufacturing.
Generally, these are multidisciplinary, integrated approaches aimed to improve processes of care and patient outcomes [ 64].
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