Status
Conditions
About
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.
Full description
Three areas will be examined:
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:
Breast Cancer Screening- the proportion of women between the ages of 52 and 64 who have had a mammogram within a two year period.
Cervical Cancer Screening- the proportion of women between the ages of 21 and 64 who had a Pap test in the preceding 3 years.
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.
Asthma admission rate- the proportion of asthmatics admitted to the hospital for the care of asthma per year.
Diabetic Standards-
Continuity of Care will be assessed by 3 different indicators:
Resource utilization will be assessed by examining the following:
Sex
Ages
Volunteers
Inclusion criteria
Exclusion criteria
Patients who elect not to participate in the study.
Loading...
Data sourced from clinicaltrials.gov
Clinical trials
Research sites
Resources
Legal