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Table 7 Mixed interventions

From: Organizational interventions to implement improvements in patient care: a structured review of reviews

Author, number of studies Quality score Focus Main results
Dijkstra 2004
N = 15
7 Organizational change to implement guidelines in hospitals Improved professional performance (AOR 8.41, NS)
Gilbody 2003
N = unknown
7 Organizational interventions to improve depression management in primary care Qualitative conclusions.
Hulscher 1999
N = 4
6 Organizational interventions to improve preventive care in general practice Improved professional performance (ARR range 3–30%, PSI 4/4 = 100%).
Mandelblatt 1995
N = 3
7 Administrative office systems to enhance breast cancer screening Increase screening rates (ARR range: 19–21%).
Parkes 2000
N = 8
7 Discharge planning from hospital Reduction in hospital length of stay (WMD 1.01), increased patient satisfaction (PSI 2/2 = 100%.
No change in: health outcomes, overall health costs
Renders 2000
N = 9
8 Organizational interventions to improve diabetes care Qualitative conclusions.
Solomon 1998
N = 26
8 Enabling interventions (administrative structures) to influence use of diagnostic tests by physicians As single interventions: improved outcomes (PSI 3/5 = 60%). As part of multifaceted interventions: all improved outcomes (PSI range: 75–100%).