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• W1983762247 abstract "Evidence-based treatment guidelines are developed in part to improve healthcare outcomes and decrease costs. The relationship between provider compliance with LBP guidelines and specific health outcomes has not been clearly delineated. The Department of Defense (DoD) and Veterans Administration (VA) are one of the many groups developing and promoting the adoption of treatment guidelines for the management of low back pain in primary care. DoD/VA clinical practice guidelines (CPG) were implemented system-wide in 1999. Data from the DoD/TriCare system from 1998–2002 were extracted to examine provider compliance with the LBP CPG and determine its relationship to patient satisfaction, perceived health, functional outcome and cost of care. CPGs for the management of upper extremity disorders do not exist in the DOD/VA system and therefore were used as a control group. There were no differences in outcomes over years between the LBP cases (with the established DoD/VA CPG) and upper extremity disorder cases. CPG compliant care was provided in less than half the LBP cases, and no trend in improved LBP CPG compliance over years of implementation was noted. CPG compliance was associated with improved patient satisfaction, perceived health, and functional outcome, and decreased cost, controlling for socio-demographic variables such as gender, age, ethnicity, beneficiary status, service group, martial status, geographical region, education level, treatment duration, and perceived health. These findings confirm those observed in smaller health care systems and suggest that greater emphasis needs to be placed on developing innovate strategies to increase provider compliance to these evidence-based guidelines. The need to increase provider compliance with this CPG is a logical implication of this research, particularly given that compliance is associated with improved outcomes and lower cost. Evidence-based treatment guidelines are developed in part to improve healthcare outcomes and decrease costs. The relationship between provider compliance with LBP guidelines and specific health outcomes has not been clearly delineated. The Department of Defense (DoD) and Veterans Administration (VA) are one of the many groups developing and promoting the adoption of treatment guidelines for the management of low back pain in primary care. DoD/VA clinical practice guidelines (CPG) were implemented system-wide in 1999. Data from the DoD/TriCare system from 1998–2002 were extracted to examine provider compliance with the LBP CPG and determine its relationship to patient satisfaction, perceived health, functional outcome and cost of care. CPGs for the management of upper extremity disorders do not exist in the DOD/VA system and therefore were used as a control group. There were no differences in outcomes over years between the LBP cases (with the established DoD/VA CPG) and upper extremity disorder cases. CPG compliant care was provided in less than half the LBP cases, and no trend in improved LBP CPG compliance over years of implementation was noted. CPG compliance was associated with improved patient satisfaction, perceived health, and functional outcome, and decreased cost, controlling for socio-demographic variables such as gender, age, ethnicity, beneficiary status, service group, martial status, geographical region, education level, treatment duration, and perceived health. These findings confirm those observed in smaller health care systems and suggest that greater emphasis needs to be placed on developing innovate strategies to increase provider compliance to these evidence-based guidelines. The need to increase provider compliance with this CPG is a logical implication of this research, particularly given that compliance is associated with improved outcomes and lower cost." @default.
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• W1983762247 date "2005-03-01" @default.
• W1983762247 modified "2023-09-26" @default.
• W1983762247 title "Health service implications of the DOD/VA low back pain clinical practice guideline" @default.
• W1983762247 doi "https://doi.org/10.1016/j.jpain.2005.01.100" @default.
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