Trial reportJournal of general internal medicine2015
Panel Management to Improve Smoking and Hypertension Outcomes by VA Primary Care Teams: A Cluster-Randomized Controlled Trial.
Trial report in Journal of general internal medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Strategies to improve the implementation of preventive care in primary care: a systematic review and meta-analysis.BMC medicine · 2024Pooled it
- Strategies to improve smoking cessation rates in primary care.The Cochrane database of systematic reviews · 2021Pooled it
- Implementation fidelity to a behavioral diabetes prevention intervention in two New York City safety net primary care practices.BMC public health · 2023Trial
- Protocol for the CHORD project (community health outreach to reduce diabetes): a cluster-randomized community health worker trial to prevent diabetes.BMC public health · 2018Trial
- Identifying important and feasible primary care structures and processes in the US healthcare system: a modified Delphi study.BMJ open · 2024Article
- Tailoring remote patient management in cardiovascular risk management for healthcare professionals using panel management: a qualitative study.BMC primary care · 2024Article
- A Systematic Review of the Effects of Smoking on the Cardiovascular System and General Health.Cureus · 2023Review
- Population health interventions for cardiometabolic diseases in primary care: a scoping review and RE-AIM evaluation of current practices.Frontiers in medicine · 2023Article
- Improving cardiovascular outcomes by using team-supported, EHR-leveraged, active management: Disseminating a successful quality improvement project.Contemporary clinical trials communications · 2021Article
- "You can't have a PrEP program without a PrEP Coordinator": Implementation of a PrEP panel management intervention.PloS one · 2020Article
- Protocol for a cluster-randomized controlled trial of a technology-assisted health coaching intervention for weight management in primary care: The GEM (goals for eating and moving) study.Contemporary clinical trials · 2019Article
- Implementation of a novel population panel management curriculum among interprofessional health care trainees.BMC medical education · 2017Article
- Measuring Practicing Clinicians' Information Literacy. An Exploratory Analysis in the Context of Panel Management.Applied clinical informatics · 2017Article
- In the Office and In-Between: The Role of Panel Management in Primary Care.Journal of general internal medicine · 2015Article
- Don't Believe Everything You Think.Journal of general internal medicine · 2015Article
- System-Level Quality Improvement Initiatives for Tobacco Use in a Safety-Net Health System During the COVID-19 Pandemic.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPanel Management can expand prevention and chronic illness management beyond the office visit, but there is limited evidence for its effectiveness or guidance on how best to incorporate it into practice.
objectiveWe aimed to test the effectiveness of incorporating panel management into clinical practice by incorporating Panel Management Assistants (PMAs) into primary care teams with and without panel management education.
designWe conducted an 8-month cluster-randomized controlled trial of panel management for improving hypertension and smoking cessation outcomes among veterans. PATRICIPANTS: Twenty primary care teams from the Veterans Affairs New York Harbor were randomized to control, panel management support, or panel management support plus education groups. Teams included 69 clinical staff serving 8,153 hypertensive and/or smoking veterans.
interventionsTeams assigned to the intervention groups worked with non-clinical Panel Management Assistants (PMAs) who monitored care gaps and conducted proactive patient outreach, including referrals, mail reminders and motivational interviewing by telephone. MAIN MEASURES: Measurements included mean systolic and diastolic blood pressure, proportion of patients with controlled blood pressure, self-reported quit attempts, nicotine replacement therapy (NRT) prescriptions, and referrals to disease management services. KEY
resultsChange in mean blood pressure, blood pressure control, and smoking quit rates were similar across study groups. Patients on intervention teams were more likely to receive NRT (OR = 1.4; 95% CI 1.2-1.6) and enroll in the disease management services MOVE! (OR = 1.2; 95% CI 1.1-1.6) and Telehealth (OR = 1.7, 95% CI 1.4-2.1) than patients on control teams.
conclusionsPanel Management support for primary care teams improved process, but not outcome variables among veterans with hypertension and smoking. Incorporating PMAs into teams was feasible and highly valued by the clinical staff, but clinical impact may require a longer intervention.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.