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
研究概览
详细说明
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.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Aarhus、丹麦、8000
- Dept. of General Medicine, Institute of Public Health, Aarhus University
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
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
学习计划
研究是如何设计的?
设计细节
- 主要用途:卫生服务研究
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的: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.
其他名称:
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无干预:control
Control group.
No special attention
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研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
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Outcome and process measures from the danish diabetes guideline
大体时间:1/3 2007-1/6 2008
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1/3 2007-1/6 2008
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次要结果测量
结果测量 |
大体时间 |
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Interview data concerning the impact of the electronic feedback system in the intervention clinics
大体时间:1/3 2007-1/6 2008
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1/3 2007-1/6 2008
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合作者和调查者
调查人员
- 研究主任:Torsten Lauritzen, MD, Dr. Med.、professor
出版物和有用的链接
一般刊物
- 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.
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他研究编号
- 2008-41-2792
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