Evaluation of a multidisciplinary lipid clinic to improve the care of individuals with severe lipid conditions: a RE-AIM framework analysis.
Laney K JonesMegan McMinnDavid KannMichael LeskoAmy C SturmNicole WaltersNan ChenKerrianne FryRoss C BrownsonSamuel S GiddingMarc S WilliamsAlanna Kulchak RahmPublished in: Implementation science communications (2021)
Despite limited reach and adoption of the MDLC, we found a large intervention effect that included improved diagnosis, increased prescribing of guideline-recommended treatments, and clinically significant reduction of lipid levels. Attention to factors including solutions to decrease the large burden of unseen referrals, discussion of the appropriate number and duration of visits, and sustainability of the clinic model could aid in enhancing the success of the MDLC and improving outcomes for more patients throughout the system.
Keyphrases
- primary care
- end stage renal disease
- fatty acid
- ejection fraction
- newly diagnosed
- chronic kidney disease
- randomized controlled trial
- healthcare
- quality improvement
- peritoneal dialysis
- prognostic factors
- working memory
- emergency department
- type diabetes
- electronic health record
- metabolic syndrome
- adipose tissue
- chronic pain
- pain management
- weight loss