Automated Diabetes Registry Tools to Enhance Patient Self-Management and Provider Performance Feedback
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Our federally qualified health care center serves over 7000 diabetic patients, many of whom are uninsured (43%) or on medicaid (18%) or medicare (26%). The population is 54% Latino, 25% Caucasian, and 14% African American. We excluded patients older than 75; those without English or Spanish as a first language; and the homeless. The remaining 5457 patients were randomized to this one-year study which ended January 1, 2009. One-half of the enrolled patients received quarterly mailed report cards on their HgA1c, blood pressure, and lipid performance. They were asked to pick from a list of self-management goals and to see their provider if their last visit was more than 2 months prior to the mailing. In a 2x2 design, our eight clinics were randomized to i) on-site printing of patient report cards or no on-site printing and ii) standard provider performance report cards or enhanced provider report cards. The standard provider report cards included data on provider performance on HgA1c, LDL, and blood pressure compared to other providers. The enhanced provider report card also included a list of up to 10 patients not at HgA1c, LDL, or blood pressure goal. The provider report cards were distributed on a quarterly basis, and the point of care patient report cards were distributed at every clinic visit.
We are analyzing the impact of the intervention on the percent of patients at expert recommended goals for glycemic, lipid, and blood pressure control. We are also performing a qualitative analysis to describe provider and patient attitudes toward the interventions.
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
-
-
Colorado
-
Denver, Colorado, Forenede Stater, 80204
- Denver Health Medical Center
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- icd9 code for diabetes
- primary care visit in the past 18 months
- English or Spanish as primary language
Exclusion Criteria:
- age more than 75
- No working address
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Sundhedstjenesteforskning
- Tildeling: Randomiseret
- Interventionel model: Faktoriel opgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Aktiv komparator: 1
patients who received point-of-care report cards and were listed on provider performance report card
|
gives patient feedback on performance on glycemic, lipid, and blood pressure control relative to expert recommended goals
Gives provider feedback on performance on their diabetes panel of patients and includes patient level data
|
|
Aktiv komparator: 2
Patients who received point-of-care diabetes report cards but were not listed on provider performance report card
|
gives patient feedback on performance on glycemic, lipid, and blood pressure control relative to expert recommended goals
|
|
Aktiv komparator: 3
Patients who did not receive point-of-care report card but who were listed on provider performance report card
|
Gives provider feedback on performance on their diabetes panel of patients and includes patient level data
|
|
Ingen indgriben: 4
Patients who did not receive point of care report card and who did were not listed on provider performance report card
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Percent of patients with HgA1c < 7
Tidsramme: january 2009
|
january 2009
|
|
Percent of patients with LDL < 100 mg/dL
Tidsramme: january 2009
|
january 2009
|
|
Percent of patients with BP < 130/80
Tidsramme: january 2009
|
january 2009
|
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Percent of patients with A1c checked in last 6 months
Tidsramme: january 2009
|
january 2009
|
|
Percent of patients with LDL checked in past year
Tidsramme: january 2009
|
january 2009
|
|
Percent of patients with BP checked in past year
Tidsramme: january 2009
|
january 2009
|
Samarbejdspartnere og efterforskere
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: henry h fischer, md, Denver Health and Hospital Authority
Publikationer og nyttige links
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- AHRQ 290-2006-000-20
- AHRQ Contract 290-2006-000-20
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