Russell E. Glasgow|Paul A. Nutting|Diane K. King|Candace C. Nelson|Gary Cutter|Bridget Gaglio|Alanna Kulchak Rahm|Holly Whitesides|Hilarea Amthauer
A practical randomized trial to improve diabetes care
Kaiser Permanente|Center for Research Strategies|Kaiser Permanente|Kaiser Permanente|Cooper Institute|Kaiser Permanente|Kaiser Permanente|Kaiser Permanente|Kaiser Permanente
welldocumented gap diabetes care guidelines services received patients almost health care settings project reports initial results computerassisted patientcentered intervention improve level recommended services received patients wide variety primary care providerseight hundred eightysix patients type 2 diabetes care 52 primary care physicians participated diabetes priority program physicians stratified randomized intervention control conditions evaluated 2 primary outcomes number recommended laboratory screenings recommended patientcentered care activities completed secondary outcomes evaluated using problem areas diabetes scale patient health questionnaire phq9 depression scale reaim framework used evaluate potential disseminationthe program wellimplemented significantly improved number recommended laboratory assays 34 vs 31 p 001 patientcentered aspects diabetes care patients received 36 vs 32 p 001 compared randomized control practices activities increased foot exams followup rates 80 vs 52 p 003 nutrition counseling 76 vs 52 p 001patients willing participate brief computerassisted intervention effective enhancing quality diabetes care staff primary care offices consistently deliver intervention nature physicians unwilling participate translation research study