Russell E. Glasgow|Paul A. Nutting|Diane K. King|Candace C. Nelson|Gary Cutter|Bridget Gaglio|Alanna Kulchak Rahm|Holly Whitesides
Randomized Effectiveness Trial of a Computer-Assisted Intervention to Improve Diabetes Care
Kaiser Permanente|Center for Research Strategies|University of Colorado Health|Kaiser Permanente|Kaiser Permanente|Cooper Institute|Kaiser Permanente|Kaiser Permanente|Kaiser Permanente
welldocumented gap diabetes care guidelines services received patients health care settings report presents 12month followup results computerassisted patientcentered intervention improve level recommended services patients received variety primary care settingsa total 886 patients type 2 diabetes care 52 primary care physicians participated diabetes priority program physicians stratified randomized intervention control conditions evaluated two primary outcomes number recommended laboratory screenings recommended patientcentered care activities completed national committee quality assuranceamerican diabetes association provider recognition program prp secondary outcomes evaluated using problem areas diabetes 2 quality life scale lipid hba1c levels patient health questionnaire9 depression scalethe program well implemented significantly improved number laboratory assays patientcentered aspects diabetes care patients received compared control condition overall improvement secondary outcomes lipids hba1c quality life depression scores betweencondition differences significantstaff small mixedpayer primary care offices consistently implement patientcentered intervention improve prp measures quality diabetes care alternative explanations process improvements lead improved outcomes suggested directions future research discussed