Automated Diabetes Registry Tools to Enhance Patient Self-Management and Provider Performance Feedback
Studienübersicht
Status
Bedingungen
Intervention / Behandlung
Detaillierte Beschreibung
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.
Studientyp
Einschreibung (Tatsächlich)
Phase
- Unzutreffend
Kontakte und Standorte
Studienorte
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-
Colorado
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Denver, Colorado, Vereinigte Staaten, 80204
- Denver Health Medical Center
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-
Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
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
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Versorgungsforschung
- Zuteilung: Zufällig
- Interventionsmodell: Fakultätszuweisung
- Maskierung: Keine (Offenes Etikett)
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
|---|---|
|
Aktiver 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
|
|
Aktiver 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
|
|
Aktiver 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
|
|
Kein Eingriff: 4
Patients who did not receive point of care report card and who did were not listed on provider performance report card
|
Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Zeitfenster |
|---|---|
|
Percent of patients with HgA1c < 7
Zeitfenster: january 2009
|
january 2009
|
|
Percent of patients with LDL < 100 mg/dL
Zeitfenster: january 2009
|
january 2009
|
|
Percent of patients with BP < 130/80
Zeitfenster: january 2009
|
january 2009
|
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Zeitfenster |
|---|---|
|
Percent of patients with A1c checked in last 6 months
Zeitfenster: january 2009
|
january 2009
|
|
Percent of patients with LDL checked in past year
Zeitfenster: january 2009
|
january 2009
|
|
Percent of patients with BP checked in past year
Zeitfenster: january 2009
|
january 2009
|
Mitarbeiter und Ermittler
Ermittler
- Hauptermittler: henry h fischer, md, Denver Health and Hospital Authority
Publikationen und hilfreiche Links
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn
Primärer Abschluss (Tatsächlich)
Studienabschluss (Tatsächlich)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Schätzen)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Schätzen)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
- AHRQ 290-2006-000-20
- AHRQ Contract 290-2006-000-20
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