Electronic Feedback on Diabetic Care to General Practitioners
Development and Evaluation of Electronic Feedback, a Tool for Quality Assurance of the Diabetic Care in General Practice
Studieöversikt
Status
Betingelser
Intervention / Behandling
Detaljerad beskrivning
Background: In an effort to optimize diabetes care in general practice, an electronical feedback system has been developed. The system will be evaluated both quantitative and qualitative.
Method: The general practitioners (GP´s) of the Region of Southern Denmark have been randomised to either admission or no admission to the electronic feedback system. The system was launched 1/3-2007 and ran for one year prior to evaluation.
Quantitative evaluation by assessment of the following end-points: Patients Hba1c-level, number of patients who have had their hba1c-level measured within the last year, cholesterol-level and number of patients who have had an eye examination within the last year.
Qualitative evaluation by interviewing GP´s who have had admission to the system.
Qualitative data have been collected through interviews with intervention GPs, designed to uncover motivational factors as well as barriers concerning the use of feedback on chronic care in general practice. Data are being analyzed.
Quantitative data are being gathered. Perspective: This project will shed light on the value of electronic feedback systems within chronic care in general practice.
Based on this project it will be possible to set up a system for automatic electronic monitoring and feedback of the quality of care in general practice, taking motivational factors of the GP s into account during implementation.
Studietyp
Inskrivning (Faktisk)
Fas
- Inte tillämpbar
Kontakter och platser
Studieorter
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Aarhus, Danmark, 8000
- Dept. of General Medicine, Institute of Public Health, Aarhus University
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Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
Inclusion Criteria:
- Prevalent Type 2-diabetes as confirmed by Primary Care Physician.
- Patient alive throughout the intervention period.
- GP actively working throughout the intervention period (not retired).
Exclusion criteria:
- death during intervention
- moved out of geographic area during intervention
- GP retired during intervention
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Hälsovårdsforskning
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
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Experimentell: Intervention
Admission to electronic feedback system
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An electronic feedback system was introduced in randomized primary care clinics providing an overview of quality of care.
The intervention ran for 15 months.
Andra namn:
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Inget ingripande: control
Control group.
No special attention
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Vad mäter studien?
Primära resultatmått
Resultatmått |
Tidsram |
|---|---|
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Outcome and process measures from the danish diabetes guideline
Tidsram: 1/3 2007-1/6 2008
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1/3 2007-1/6 2008
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Sekundära resultatmått
Resultatmått |
Tidsram |
|---|---|
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Interview data concerning the impact of the electronic feedback system in the intervention clinics
Tidsram: 1/3 2007-1/6 2008
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1/3 2007-1/6 2008
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Samarbetspartners och utredare
Sponsor
Utredare
- Studierektor: Torsten Lauritzen, MD, Dr. Med., Professor
Publikationer och användbara länkar
Allmänna publikationer
- Guldberg TL, Lauritzen T, Kristensen JK, Vedsted P. The effect of feedback to general practitioners on quality of care for people with type 2 diabetes. A systematic review of the literature. BMC Fam Pract. 2009 May 6;10:30. doi: 10.1186/1471-2296-10-30.
- Guldberg TL, Vedsted P, Kristensen JK, Lauritzen T. Improved quality of Type 2 diabetes care following electronic feedback of treatment status to general practitioners: a cluster randomized controlled trial. Diabet Med. 2011 Mar;28(3):325-32. doi: 10.1111/j.1464-5491.2010.03178.x.
- Guldberg TL, Vedsted P, Lauritzen T, Zoffmann V. Suboptimal quality of type 2 diabetes care discovered through electronic feedback led to increased nurse-GP cooperation. A qualitative study. Prim Care Diabetes. 2010 Apr;4(1):33-9. doi: 10.1016/j.pcd.2010.01.001. Epub 2010 Jan 21.
Studieavstämningsdatum
Studera stora datum
Studiestart
Primärt slutförande (Faktisk)
Avslutad studie (Faktisk)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Uppskatta)
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Andra studie-ID-nummer
- 2008-41-2792
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